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Timothy Moore, PH.D., LP, BCBA-D
NPI 1194094045 · on the registry since 2011
Practice
- Address
- 3333 University Ave Se
Minneapolis, MN 55414 - Phone
- (612) 331-9413
- Fax
- (612) 728-5301
- Organisation at this address
- Fraser Child And Family Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 812
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota