Male or Other

John Moore MS

Behavioral Analyst in Brighton, MI(View on Map)

Full Name

John Moore MS

NPI Number

1871900373

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/16/2014

Specialties

(Taxonomies)

Code

103K00000X
103TC2200X
103T00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Michigan
Michigan
Michigan

License Number

7401000465
6361004249
6301011549

Contact
Information

Purpose

Mailing
Location

Address

8544 W GRAND RIVER AVE
8542 W GRAND RIVER AVE

City

Brighton
Brighton

State

MI
MI

Postal Code

48116-2326
48116-2326

Country

US
US

Telephone Number

N/A
(248) 299-0030

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/12/2021

Provider Address

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