Most Relevant Information
Provider Data
| NPI Number: | 1003533209 |
| Provider Name: | EMILY MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-241451 |
Most Important Dates
| Enumeration Date: | 10/27/2022 |
| Last Updated: | 10/27/2022 |
Provider Practice Location
217 OAK STREET
KISSIMMEE
FL
34744
Practice Location Phone/Fax
| Phone: | 4077064074 |
| Fax: |
Provider Mailing Location
102 PARK PLACE BLVD STE C1
KISSIMMEE
FL
347412358
Provider Mailing Phone/Fax
| Phone: | 4078086905 |
| Fax: |