Individual
KIMARI MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 THIMBLE SHOALS BLVD STE 110, NEWPORT NEWS, VA 23606-2768
(757) 690-9390
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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