An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Behavior Analyst |
103K00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Mental Health |
101YM0800X | |||
Pediatrics |
225XP0200X | 67 | Occupational Therapist in Private Practice | |
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI # | 1982864849 |
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| LBN Legal business name | MOORE PEDIATRIC THERAPY SERIVCES | ||||
| Authorized official | CYNTHIA SECURA - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/13/2008 | ||||
| Last updated | 07/10/2023 - About 3 years ago | ||||
| Identifiers |
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