Quanchellian Moss, RBT
Behavior Technician in Midland, GA. Individual provider (NPI-1).
NPI number1831887801
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1831887801
- Entity type
- Individual (NPI-1)
- Name
- Quanchellian Moss
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2023
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-266990 | GA | Yes |
Practice location
7330 Lynch RdMidland, GA 31820-4010
Phone 229-417-1277
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
Phone 229-417-1277
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