Individual
JAMIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
Mailing address
5307 LEYDEN LN, DAYTON, OH 45424-3430
(937) 321-0230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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