Search › Illinois › 103K00000X

Colin Moore, BCBA

NPI 1508043183 · on the registry since 2008

Practice

Address
1133 W Wilson St Apt E
Batavia, IL 60510
Phone
(812) 814-0182
Fax
(812) 814-0182

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
101YM0800X
103TM1800X
103TP0814X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois