Andrea Montgomery
Behavior Technician in Bridgeton, MO. Individual provider (NPI-1).
NPI number1003570656
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1003570656
- Entity type
- Individual (NPI-1)
- Name
- Andrea Montgomery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2021
- Certification date
- Oct 11, 2021
- Last updated
- Oct 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12355 Depaul Dr.Bridgeton, MO 63044
Phone 314-344-7200
Mailing address
1430 Olive St Ste 400Saint Louis, MO 63103-2303
Phone 314-206-3700
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Other Behavior Technician providers in Bridgeton, MO
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All 25 Behavior Technician providers in Bridgeton · All 1,440 providers in Bridgeton
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