Individual
HALEY ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL TECHNICIA
Contact information
Practice address
4949 SW MACADAM AVE, PORTLAND, OR 97239-3912
(800) 273-4292
(949) 253-4627
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61107418
WA
247200000X
Other Technician
—
—
Other
Enumeration date
01/22/2018
Last updated
05/11/2021
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