Individual
MRS. STACEY LYNN MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1050 GALLOPING HILL RD, UNION, NJ 07083-7983
(908) 686-1505
Mailing address
1050 GALLOPING HILL RD, UNION, NJ 07083-7983
(732) 686-1505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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