Moore, Colin Lance

Moore, Colin Lance is an individual health care provider with primary practice located at 1133 W Wilson St Apt E , Batavia IL 60510-1884. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Moore, Colin Lance can be contacted via phone (812) 814-0182.

Contact Information

Primary practice address
1133 W Wilson St Apt E Batavia IL 60510-1884
Phone: (812) 814-0182
Fax: (812) 814-0182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-0724 Illinois

Profile Details

NPI number 1508043183
LBN Legal business name Moore, Colin Lance
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2008
Last updated Jan 8th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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