Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-10-6942 | KY |
NPI | 1003124462 |
---|---|
Provider Name | Elizabeth Webb Moore |
First Address | Woodland Hills, CA 91367-4976 |
Second Address | Louisville, KY 40205-2210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2010 |
Last Update Date | 05/12/2016 |