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NPI Code Detail

MEDICARE: MAURIAMA MOORE

MEDICARE: MAURIAMA MOORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1316890999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURIAMA MOORE
Provider Business Mailing Address
First Line : 1405 SPRUCE ST STE A
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1405 SPRUCE ST STE A
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2410
Country : US
Telephone Number : 951-396-6870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ MAURIAMA MOORE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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