| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RICHARD A MOORE | 1912669623 | 2021-10-10 |
Richard A Moore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912669623. Registration indicates Richard A Moore is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Mr. Richard A Moore Jr. |
| Practice Office Address | 7090 SAMUEL MORSE DR STE 100 COLUMBIA, MD US |
| Practice Office Telephone | 8883445977 |
| Mailing Address | 7090 SAMUEL MORSE DR STE 100 COLUMBIA, MD 210463444 US |
| Business Telephone | 8883445977 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |