Individual
MARGARET M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3361 36TH ST SE, KENTWOOD, MI 49512-2809
(616) 726-1952
Mailing address
12650 HAMILTON CROSSING BLVD, CARMEL, IN 46032-5400
(317) 249-2242
(317) 663-1175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8077
IN
Other
Enumeration date
10/05/2011
Last updated
03/03/2022
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