Individual
AZIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
31344 VIA COLINAS STE 108, WESTLAKE VILLAGE, CA 91362-6797
(805) 379-3212
Mailing address
31344 VIA COLINAS STE 108, WESTLAKE VILLAGE, CA 91362-6797
(805) 379-3212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-3589857
THE HOLMAN GROUP
—
Enumeration date
10/03/2017
Last updated
10/03/2017
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