Individual
MONTANA COCLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 E MAIN ST, FERNLEY, NV 89408-7708
(775) 996-3890
Mailing address
240 BOOTH ST APT L, RENO, NV 89509-1311
(775) 996-3890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/11/2020
Last updated
11/03/2022
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