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Individual

JASCHA ALEA FLORENTINO MONTALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1455 NW LEARY WAY STE 400, SEATTLE, WA 98107-5138
(206) 504-3815
(855) 568-2494
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
(619) 374-7134

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst

Other

Enumeration date
03/25/2021
Last updated
03/25/2026
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