Individual
BRANDY A MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 STORCK MILL RD, FREDERICKSBURG, VA 22406-4756
(540) 356-5979
Mailing address
21 STORCK MILL RD, FREDERICKSBURG, VA 22406-4756
(540) 356-5979
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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