Individual
TAYLOR MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 W WARNER AVE STE 101, CHICAGO, IL 60613-1891
(314) 609-7514
Mailing address
1801 W WARNER AVE STE 101, CHICAGO, IL 60613-1891
(314) 609-7514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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