Montyvell M Hernandez, RBT
Behavior Technician in Dallas, GA. Individual provider (NPI-1).
NPI number1831997394
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1831997394
- Entity type
- Individual (NPI-1)
- Name
- Mr. Montyvell M Hernandez
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2025
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-25-403128 | ID | Yes |
Other names
- Monty M Hernandez (Other Name)
Practice location
296 Merchants SqDallas, GA 30132-5029
Phone 470-391-2300
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone 866-610-0580
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