Colin Lance Moore, BCBA
Behavior Analyst in Batavia, IL. Individual provider (NPI-1).
NPI number1508043183
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1508043183
- Entity type
- Individual (NPI-1)
- Name
- Colin Lance Moore
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2008
- Certification date
- Jan 8, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-0724 | IL | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | – | – | |
| 103TP0814X | Psychologist, Psychoanalysis | – | – |
Practice location
1133 W Wilson St Apt EBatavia, IL 60510-1884
Phone 812-814-0182 · Fax 812-814-0182
Mailing address
1133 W Wilson St Apt EBatavia, IL 60510-1884
Phone 812-814-0182 · Fax 423-296-4230
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All 6 Behavior Analyst providers in Batavia · All 617 providers in Batavia
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