Individual
ADRIAN JARELLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21515 HAWTHORNE BLVD, TORRANCE, CA 90503-6501
(424) 571-2618
Mailing address
21515 HAWTHORNE BLVD, TORRANCE, CA 90503-6501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
M532031372077
MI
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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