Blaine Moore II
Blaine Moore II is a Behavior Technician in Santa Rosa, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1335 N Dutton AveSanta Rosa, CA 95401-4609
Phone: (707) 888-2927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1932784832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2021 |
| Last updated in NPPES | April 13, 2021 |
| Certification date | April 13, 2021 |
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