NPI 1154111953

Gavin Moore

Practitioner Behavior Technician Marlinton, WV

Practice location

Address: 704 3rd Ave, Marlinton, WV 24954-1142
Phone: (304) 799-6865

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-373113

Other Behavior Technician providers in West Virginia →

Registry record

NPI: 1154111953
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2025
Record last updated: 7 May 2025

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.