Individual
EVELYN J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 573-6172
Mailing address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 573-6172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NM
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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