Most Relevant Information
Provider Data
| NPI Number: | 1003678772 |
| Provider Name: | REBECCA MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/26/2024 |
| Last Updated: | 01/26/2024 |
Provider Practice Location
413 SMITH ST
WEST COLUMBIA
TX
77486
Practice Location Phone/Fax
| Phone: | 9795291654 |
| Fax: |
Provider Mailing Location
413 SMITH ST
WEST COLUMBIA
TX
77486
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |