Whalio Doctors

NPI 1003426461

Nathaniel J Moore

Practitioner Behavior Technician McDonough, GA

Practice location

Address
382 Racetrack Rd, McDonough, GA 30252-1022
Phone
(678) 691-2206
Mailing address
2472 Jett Ferry Rd STE 400-197, Atlanta, GA 30338-3059

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI
1003426461
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jul 2020
Record last updated
27 Nov 2023

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.