Individual
MS. ALYSSA MARIE MONTELONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 S LEGACY DR STE 15, PROSPER, TX 75078-2940
(469) 780-4897
Mailing address
940 S LEGACY DR STE 15, PROSPER, TX 75078-2940
(469) 780-4897
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56896
TX
106S00000X
Behavior Technician
RBT-17-45722
TX
Other
Enumeration date
05/23/2018
Last updated
09/18/2024
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