BRIAN MOORE

DAYTONA BEACH, FL
NPI1891212130
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2017-08-28
Last Update Date2018-06-28
Business Address
BRIAN MOORE
201 THORNBERRY BRANCH LN
DAYTONA BEACH, FL 32124
Phone number: 386-872-4892
Mailing Address
BRIAN MOORE
2306 BRIAN AVE
SOUTH DAYTONA, FL 32119-2724
Phone number: 401-286-7663
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