Individual
GAVIN MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5910 GALLEY RD, COLORADO SPRINGS, CO 80915-3736
(719) 466-4809
Mailing address
2120 E LA SALLE ST, COLORADO SPRINGS, CO 80909-2218
(719) 466-4809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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