Mailyn Montana I, etc
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1619658366
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1619658366
- Entity type
- Individual (NPI-1)
- Name
- Mailyn Montana I
- Credential
- etc
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2023
- Certification date
- Jul 25, 2023
- Last updated
- Jul 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-21-196264 | FL | Yes |
Practice location
3901 Sw 109th Ave Apt G12Miami, FL 33165-4459
Phone 786-406-2106
Mailing address
3901 Sw 109 Avn, G12G12
Miami, FL 33165
Phone 786-406-2106
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