Most Relevant Information
Provider Data
| NPI Number: | 1003553728 |
| Provider Name: | KERY MONTENEGRO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-210087 |
Most Important Dates
| Enumeration Date: | 05/14/2022 |
| Last Updated: | 05/14/2022 |
Provider Practice Location
19177 NW 45TH AVE
MIAMI GARDENS
FL
330552104
Practice Location Phone/Fax
| Phone: | 7862706823 |
| Fax: |
Provider Mailing Location
19177 NW 45TH AVE
MIAMI GARDENS
FL
330552104
Provider Mailing Phone/Fax
| Phone: | 7862706823 |
| Fax: |