Moore, Brian

Moore, Brian is an sole proprietor health care provider with primary practice located at 201 Thornberry Branch Ln , Daytona Beach FL 32124. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is his primary health care specialty. Moore, Brian can be contacted via phone (386) 872-4892.

Contact Information

Primary practice address
201 Thornberry Branch Ln Daytona Beach FL 32124
Phone: (386) 872-4892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1891212130
LBN Legal business name Moore, Brian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2017
Last updated Jun 28th, 2018 - about 7 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.

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