NPI 1891212130
Brian Moore
Practice location
- Address
- 201 Thornberry Branch Ln, Daytona Beach, FL 32124
- Phone
- (386) 872-4892
- Mailing address
- 2306 Brian Ave, South Daytona, FL 32119-2724
Registered specialties (2)
Early Intervention Provider Agency
Primary
Behavior Technician
Registry record
- NPI
- 1891212130
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Aug 2017
- Record last updated
- 28 Jun 2018
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.