Individual
IDALY MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9750 NW 33RD ST, SUITE 209, CORAL SPRINGS, FL 33065
(954) 509-3776
(954) 827-0308
Mailing address
9750 NW 33RD ST, SUITE 209, CORAL SPRINGS, FL 33065
(954) 509-3776
(954) 827-0308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT23-302560
FL
2355S0801X
Speech-Language Assistant
Primary
SI8153
FL
Other
Enumeration date
10/16/2023
Last updated
05/14/2026
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