Individual
MISS ANA CITLALY MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7222 W CERMAK RD, RIVERSIDE, IL 60546-1422
(866) 695-2221
Mailing address
5413 S ROCKWELL ST # 1, CHICAGO, IL 60632-1516
(708) 435-3022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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