Individual
MICHAEL MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001-5890
(307) 369-1410
Mailing address
2532 PLAIN VIEW RD, CHEYENNE, WY 82009-4408
(307) 256-7498
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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