Most Relevant Information
Provider Data
| NPI Number: | 1003643099 |
| Provider Name: | ELIANYS LANDA MONTALVO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-338534 |
Most Important Dates
| Enumeration Date: | 09/16/2024 |
| Last Updated: | 09/16/2024 |
Provider Practice Location
8284 SW 179TH TER
PALMETTO BAY
FL
331576128
Practice Location Phone/Fax
| Phone: | 7865571638 |
| Fax: |
Provider Mailing Location
8284 SW 179TH TER
PALMETTO BAY
FL
331576128
Provider Mailing Phone/Fax
| Phone: | 7865571638 |
| Fax: |