| Moore Hope Behavioral Health Clinic, Llc | |
|
474 Stillwell Blvd Crestview FL 32539-8926 | |
| (850) 830-2671 | |
| Not Available |
| Full Name | Moore Hope Behavioral Health Clinic, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 474 Stillwell Blvd, Crestview, Florida |
| Authorized Official Name and Position | Cynthia M Moore (BCBA) |
| Authorized Official Contact | 8508302671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Hope Behavioral Health Clinic, Llc 474 Stillwell Blvd Crestview FL 32539-8926 Ph: () - | Moore Hope Behavioral Health Clinic, Llc 474 Stillwell Blvd Crestview FL 32539-8926 Ph: (850) 830-2671 |
| NPI Number | 1457819278 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 03/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457819278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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