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Contact Information

SUZANNE MOORE
1400 LAUREL ST
COLUMBIA, SC29201-2500
 Phone: 301-821-5357
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for SUZANNE MOORE · (Female)

NPI # 1376917260
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2015
Last updated 11/19/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 1-16-21462
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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