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Individual
IVAN FEDERICO MONTENEGRO
Active
Individual
IVAN FEDERICO MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BEHAVIOR ANALYST
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53131
CA
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0617904
PRIVATE INSURANCE
CA
Enumeration date
12/10/2019
Last updated
04/14/2026
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