Individual
DEJA ALEXIS MONTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 MISSION DR, LOS BANOS, CA 93635-6500
(408) 674-0140
Mailing address
121 DOWNEY AVE, MODESTO, CA 95354-1208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
05/27/2025
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