Tiara Moore, RBT
Behavior Technician in Suwanee, GA. Individual provider (NPI-1).
NPI number1114686342
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1114686342
- Entity type
- Individual (NPI-1)
- Name
- Tiara Moore
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2021
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-21-196809 | GA | Yes |
Practice location
4000 Smithtown Rd Ste 200Suwanee, GA 30024-6560
Phone 470-632-4990 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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All 174 Behavior Technician providers in Suwanee · All 2,103 providers in Suwanee
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