Mr. Nathaniel J Moore
Behavior Technician
382 Racetrack Rd
McDonough
, Georgia 30252-1022
Mr. Nathaniel J Moore
Behavior Technician
382 Racetrack Rd
McDonough
, Georgia 30252-1022
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Mr. Nathaniel J Moore
- 2472 Jett Ferry Rd Ste 400-197
- Atlanta, GA
- Zip : 30338-3059
- Phone :
Second Address
- Mr. Nathaniel J Moore
- 382 Racetrack Rd
- Mcdonough, GA
- Zip : 30252-1022
- Phone : (678) 691-2206
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003426461 |
|---|---|
| Provider Name | Mr. Nathaniel J Moore |
| First Address | Atlanta, GA 30338-3059 |
| Second Address | Mcdonough, GA 30252-1022 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2020 |
| Last Update Date | 31/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RBT-20-123056 | RBT (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.