Individual
BLANCA LETICIA MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 LOCKHILL SELMA RD STE 106, SAN ANTONIO, TX 78213-1552
(210) 643-1119
Mailing address
17655 HENDERSON PASS APT 135, SAN ANTONIO, TX 78232-1512
(210) 544-4941
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-118906
TX
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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