Individual
AGOSTINHO ANTONIO MONTEMOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2621 BICKFORD AVE STE C, SNOHOMISH, WA 98290-1736
(360) 217-8168
Mailing address
11306 13TH ST SE, LAKE STEVENS, WA 98258-7987
(360) 348-0794
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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