Individual
LAURA ELIZABETH MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
3423 BEE CAVES RD STE 200, WEST LAKE HILLS, TX 78746-7180
(512) 524-1374
(512) 524-1355
Mailing address
3423 BEE CAVES RD STE 200, WEST LAKE HILLS, TX 78746-7180
(512) 524-1374
(512) 524-1355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-36649
BACB
TX
Enumeration date
06/17/2019
Last updated
06/17/2019
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