Individual
JAMIA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W EVANS ST, FLORENCE, SC 29501-3427
(843) 661-1666
Mailing address
P.O.100547, FLORENCE, SC 29502-0547
(843) 661-1362
(803) 905-4431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
17-46498
SC
Other
Enumeration date
04/05/2018
Last updated
05/30/2023
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