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