NPI 1003379512

Aubrey Moore

Practitioner Behavior Technician Macon, GA

Practice location

Address: 1760 Bass Rd STE 102, Macon, GA 31210-1098
Phone: (478) 845-5415
Mailing address: 1321 Murfreesboro Pike STE 702, Nashville, TN 37217-2679

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-19-81514 (GA)

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Registry record

NPI: 1003379512
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2019
Record last updated: 11 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.