Individual
JOSE MONTENEGRO FRAGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5400 SUNCREST DR STE D1, EL PASO, TX 79912-5615
(818) 241-6780
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18980
TX
Other
Enumeration date
03/19/2019
Last updated
08/15/2019
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