Most Relevant Information
Provider Data
| NPI Number: | 1003642869 |
| Provider Name: | EMMA MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2024 |
| Last Updated: | 09/10/2024 |
Provider Practice Location
4201 VARSITY DR STE C
ANN ARBOR
MI
481085005
Practice Location Phone/Fax
| Phone: | 7349260740 |
| Fax: |
Provider Mailing Location
4201 VARSITY DR STE C
ANN ARBOR
MI
481085005
Provider Mailing Phone/Fax
| Phone: | 7349260740 |
| Fax: |