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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COLIN LANCE MOORE, BCBA

Active

COLIN LANCE MOORE, BCBA is a Behavior Analyst healthcare provider located in BATAVIA, Illinois. NPI 1508043183 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · BATAVIA, IL

Registration Details

NPI Number
1508043183
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2008 (18.523005264635 yrs)
Last Updated
Jan 8, 2024
License
1-14-0724 (IL)

Practice Information

Address
1133 W WILSON ST APT E
BATAVIA, IL, 605101884
Browse IL providers · Browse ZIP 60510
Phone
8128140182
Fax
8128140182
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Psychoanalysis (Psychologist)
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in BATAVIA, IL

Name Credential NPI
BRITTNEY KALICKI BCBA 1871923367
SARAH JONES TRASK 1205299914
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.