Organization
MONTERA HEALTH MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QINGQING MAO (ADMIN)
(415) 805-1725
Entity
Organization
Contact information
Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(707) 315-6152
Mailing address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
01/31/2024
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