Individual
BONNIE L MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
4 FAIRWAY DR APT 324, DERRY, NH 03038-6118
(781) 413-1728
Mailing address
4 FAIRWAY DR APT 324, DERRY, NH 03038-6118
(781) 413-1728
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13623
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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