Most Relevant Information
Provider Data
| NPI Number: | 1003503681 |
| Provider Name: | SHILOH STORM MOSKOWITZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/24/2023 |
| Last Updated: | 04/24/2023 |
Provider Practice Location
2451B US HIGHWAY 17
RICHMOND HILL
GA
313243397
Practice Location Phone/Fax
| Phone: | 6155606622 |
| Fax: |
Provider Mailing Location
118 AUDITORIUM RD
OKATIE
SC
299096079
Provider Mailing Phone/Fax
| Phone: | 7175865068 |
| Fax: |