Individual
SARAH ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3601 W BETHEL AVE, MUNCIE, IN 47304-5408
(765) 282-8222
(765) 282-2820
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
(765) 628-7400
(855) 940-0177
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10516
IN
106S00000X
Behavior Technician
RBT-18-50932
IN
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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