Most Relevant Information
Provider Data
NPI Number: | 1003530726 |
Provider Name: | IRINA MONTALVO |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/27/2022 |
Last Updated: | 09/27/2022 |
Provider Practice Location
1610 SE 23RD ST
HOMESTEAD
FL
330352241
Practice Location Phone/Fax
Phone: | 7862391281 |
Fax: |
Provider Mailing Location
1610 SE 23RD ST
HOMESTEAD
FL
330352241
Provider Mailing Phone/Fax
Phone: | |
Fax: |