Individual
JUAN PABLO MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
463 7TH AVE, 18TH FLOOR, NEW YORK, NY 10018
(212) 582-9100
Mailing address
463 FASHION AVE FL 18, NEW YORK, NY 10018-7760
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
112000
NY
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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