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: |