Individual
BIANCA LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
5941 MIDDLEFIELD RD STE 100, LITTLETON, CO 80123-7937
(303) 795-2061
Mailing address
5941 MIDDLEFIELD RD STE 100, LITTLETON, CO 80123-7937
(303) 795-2061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-19-38984
CO
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/15/2019
Last updated
12/15/2020
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