Individual
AMY MARIE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(770) 785-9350
Mailing address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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