Most Relevant Information
Provider Data
NPI Number: | 1003379512 |
Provider Name: | AUBREY MOORE |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-19-81514 |
Most Important Dates
Enumeration Date: | 04/11/2019 |
Last Updated: | 04/11/2019 |
Provider Practice Location
1760 BASS RD STE 102
MACON
GA
312101098
Practice Location Phone/Fax
Phone: | 4788455415 |
Fax: |
Provider Mailing Location
1321 MURFREESBORO PIKE STE 702
NASHVILLE
TN
372172679
Provider Mailing Phone/Fax
Phone: | 6156952277 |
Fax: |