Individual
ALLISON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3425 SUMMERVILLE ST, LYNCHBURG, VA 24503-1344
(856) 513-5331
Mailing address
3425 SUMMERVILLE ST, LYNCHBURG, VA 24503-1344
(856) 513-5331
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002360
VA
Other
Enumeration date
02/22/2016
Last updated
03/07/2022
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