Individual
MS. KEELY V MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
278 MILL RD, CHELMSFORD, MA 01824-4106
(978) 995-2965
Mailing address
21 AUDREY AVE, TYNGSBORO, MA 01879-1332
(978) 995-2965
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB538069
MA
Other
Enumeration date
12/06/2021
Last updated
09/10/2024
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