Individual
ANGELA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
420 HAWTHORNE LN, CHARLOTTE, NC 28204-2312
(904) 887-8930
Mailing address
1407 GORDON RD, ROCK HILL, SC 29732-9712
(904) 887-8930
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
12/27/2021
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