Individual
KATIE LAURENT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LABA
Contact information
Practice address
87 SUMMER ST, WATERTOWN, MA 02472-3813
(603) 455-7999
Mailing address
87 SUMMER ST, WATERTOWN, MA 02472-3813
(603) 455-7999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
02/21/2024
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