Dijanae Moss Valid NPI
Individual provider · Behavior Analyst · Conyers, GA
- NPI
- 1245896075
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- 1-23-68682 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-05-16
- Last updated
- 2023-10-12
Practice location
2415 Wall St Se
Conyers, GA 30013-6384
(470) 207-8845