Individual ProviderThomas MooreBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3160 Crow Canyon Pl, San Ramon, CA 94583-1100(818) 241-6780PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Moore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699245761Provider TypeIndividualFull NameMoore, ThomasGenderMaleSole ProprietorNoEnumeration Date11/30/2018Last Updated11/30/2018Contact InformationPractice LocationPractice Address3160 Crow Canyon Pl, San Ramon, CA 94583-1100Phone(818) 241-6780FaxUnlisted FaxMailing LocationMailing Address206 N Jackson St Ste 202, Glendale, CA 91206-4330PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer