Moore, Tom Joe
Moore, Tom Joe is an sole proprietor health care provider with primary practice located at 2405 Nw 63Rd Ter , Gainesville FL 32606-6368. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Moore, Tom Joe can be contacted via phone (352) 338-2854.Contact Information
Primary practice address
2405 Nw 63Rd Ter
Gainesville FL 32606-6368
Phone: (352) 338-2854
Fax: (352) 332-8589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-01-0585 | Florida |
Profile Details
| NPI number | 1780974923 |
|---|---|
| LBN Legal business name | Moore, Tom Joe |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2011 |
| Last updated | Apr 8th, 2011 - about 13 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780974923 | NPPES |
| Florida | Other | 1-01-0585 | BEHAVIOR ANALYSIS CERTIFICATION BOARD |
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