Individual
AUGUST MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5750 FALLS DR, FORT WAYNE, IN 46804-7147
(260) 702-9898
Mailing address
2785 CASON ST # 2, LAFAYETTE, IN 47904-2843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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