IndividualActive
Addie Moore
NPI 1154029270 · Behavior Technician · Gardena, CA
Provider details
- NPI number
- 1154029270
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1149 W 190th St Ste 2200
Gardena, CA 90248-4344
Phone: (310) 856-0800
Fax: (855) 568-2494
Approximate (ZIP-level) locationGet directions
Mailing address
1149 W 190th St Ste 2200
Gardena, CA 90248-4344
Registry dates
- Enumerated
- 2023-02-17
- Last updated
- 2023-02-17
- Certified
- 2023-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.