Individual
ERICA MONTANYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
1 FARM LN # 458, ROOSEVELT, NJ 08555-9800
(609) 490-0592
Mailing address
166 COUNTY ROAD 367, HONDO, TX 78861-6582
(210) 215-4403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CAS169394
TX
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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