Most Relevant Information
Provider Data
| NPI Number: | 1003450883 |
| Provider Name: | SARA MATILDA MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/04/2019 |
| Last Updated: | 11/04/2019 |
Provider Practice Location
1025 ATLANTIC AVE STE 101
ALAMEDA
CA
945011188
Practice Location Phone/Fax
| Phone: | 5012688120 |
| Fax: |
Provider Mailing Location
8050 CREST AVE
OAKLAND
CA
946053612
Provider Mailing Phone/Fax
| Phone: | 4049034577 |
| Fax: |