Individual
KYLE MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 SE BARRINGTON DRIVE, SUITE 203, OAK HARBOR, WA 98277
(360) 240-0022
Mailing address
1642 NE 6TH AVE, OAK HARBOR, WA 98277-4326
(360) 675-5425
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1093009193
WA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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