| Moore Behavioral, LLC | |
|
3661 Hawks Landing Cir Pace FL 32571-9654 | |
| (904) 655-9223 | |
| Not Available |
| Full Name | Moore Behavioral, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3661 Hawks Landing Cir, Pace, Florida |
| Authorized Official Name and Position | John-mark Miller Moore (OWNER) |
| Authorized Official Contact | 9046559223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Behavioral, LLC 3661 Hawks Landing Cir Pace FL 32571-9654 Ph: (904) 655-9223 | Moore Behavioral, LLC 3661 Hawks Landing Cir Pace FL 32571-9654 Ph: (904) 655-9223 |
| NPI Number | 1205639325 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205639325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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