COLIN LANCE MOORE BCBA NPI 1508043183

NPI Information

NPI: 1508043183
Provider Name: COLIN LANCE MOORE, BCBA
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
2229 OLAN MILLS DR
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 296-4224
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Colin Lance Moore, BCBA is an intellectual and developmental disabilities in Chattanooga, TN. Colin Lance Moore, BCBA NPI is 1508043183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2229 OLAN MILLS DR
CHATTANOOGA, TN
ZIP 37421-891
Phone: (423) 296-4224
Fax: (423) 296-4230

The enumeration date for this NPI number is 1/26/2008 and was last updated on 1/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103TP0814X	Psychologist	Psychoanalysis	No
3	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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