Most Relevant Information
Provider Data
| NPI Number: | 1003393596 |
| Provider Name: | MYKAYLA MONTGOMERY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2018 |
| Last Updated: | 07/26/2018 |
Provider Practice Location
1901 ROYAL OAKS DR STE 201
SACRAMENTO
CA
958154235
Practice Location Phone/Fax
| Phone: | 9169231789 |
| Fax: |
Provider Mailing Location
1901 ROYAL OAKS DR STE 201
SACRAMENTO
CA
958154235
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |