Most Relevant Information
Provider Data
| NPI Number: | 1003449208 |
| Provider Name: | IVANNIA Y. MONGE RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/15/2020 |
| Last Updated: | 02/15/2020 |
Provider Practice Location
6991 W 7TH AVE
HIALEAH
FL
330144875
Practice Location Phone/Fax
| Phone: | 7863947626 |
| Fax: |
Provider Mailing Location
6991 W 7TH AVE
HIALEAH
FL
330144875
Provider Mailing Phone/Fax
| Phone: | 7863947626 |
| Fax: |