Individual
WILLIAM KEITH MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 471-9600
Mailing address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 471-9600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55957
AR
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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