Most Relevant Information
Provider Data
| NPI Number: | 1003598707 |
| Provider Name: | JONATHAN MOQUIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-285227 |
Most Important Dates
| Enumeration Date: | 08/02/2023 |
| Last Updated: | 08/02/2023 |
Provider Practice Location
460 MALL BLVD STE A
SAVANNAH
GA
314064891
Practice Location Phone/Fax
| Phone: | 9122444031 |
| Fax: | 6158151946 |
Provider Mailing Location
1321 MURFREESBORO PIKE STE 410
NASHVILLE
TN
372172665
Provider Mailing Phone/Fax
| Phone: | 6156966316 |
| Fax: | 6158151946 |