Individual
NYESHA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 BEAVER RUIN RD STE 500, NORCROSS, GA 30093-2813
(248) 220-7980
Mailing address
276 TECUMSEH LN, MARY ESTHER, FL 32569-2225
(678) 517-0632
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74650
GA
103K00000X
Behavior Analyst
Primary
1-24-74650
—
106S00000X
Behavior Technician
RBT-19-91080
FL
Other
Enumeration date
07/03/2019
Last updated
06/08/2026
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