Individual
BEATRIZ MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 W 103RD ST, OAK LAWN, IL 60453-4718
(331) 229-8843
Mailing address
17703 COMMUNITY ST, LANSING, IL 60438-2016
(773) 368-0185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-301419
IL
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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