Individual provider · NPI-1
Courtney Rose Moore
Behavior Analyst · Addison, TX
NPI number1093068306
StatusActive
Last updated in NPPESFeb 26, 2020
Details
- NPI
- 1093068306
- Entity type
- Individual (NPI-1)
- Name
- Miss Courtney Rose Moore
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2012
- Certification date
- Feb 26, 2020
- Last updated
- Feb 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 3146 | TX | Yes |
Practice location
14131 Midway Rd Ste 800Addison, TX 75001-3627
Phone 855-782-7822
Mailing address
14131 Midway Rd Ste 800Addison, TX 75001-3627
Phone 855-782-7822
Other practice locations
33 Turnpike Rd
Southborough, MA 01772-2108
Southborough, MA 01772-2108
Phone 508-481-1015
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