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Individual

DANIEL MONTANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA 1-23-65225

Contact information

Practice address
3721 19TH ST SW, LEHIGH ACRES, FL 33976-3317
(954) 774-3363
Mailing address
2509 DANIEL AVE, LEHIGH ACRES, FL 33971-5772
(954) 774-3363

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA-1-23-65225
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110995800
FL
Enumeration date
07/09/2021
Last updated
04/19/2023
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