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Individual

GLENDA MARISOL MONTALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., BCBA, LBA

Contact information

Practice address
24124 CINCO VILLAGE CENTER BLVD, KATY, TX 77494-8396
(855) 782-7822
Mailing address
12114 ARROWHEAD GLEN DR, HOUSTON, TX 77071-2404
(281) 221-8999

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22310
TX

Other

Enumeration date
07/07/2016
Last updated
07/02/2020
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