Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary L Moore

Individual provider Behavior Technician · NPI 1730904350

Mary L Moore is a Behavior Technician in Bradenton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

4634 50th Ave W
Bradenton, FL 34210-2982
Phone: (941) 592-3705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-388070 (FL)

Record details

NPI number1730904350
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address4634 50th Ave W, Bradenton, FL 34210-2982

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