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Individual

JAKI DANIELLE MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCA

Contact information

Practice address
790 RIDGE RD FL 2, LACKAWANNA, NY 14218-1629
(716) 828-7586
(716) 828-7589
Mailing address
790 RIDGE RD FL 2, LACKAWANNA, NY 14218-1629
(716) 828-7586
(716) 828-7589

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/16/2025
Last updated
09/16/2025
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