Individual
DONNIELLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 DUNWOODY PL STE 126, SANDY SPRINGS, GA 30350-2509
(312) 965-2997
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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