Grayson Montgomery

NPI #1093535148 in Stilwell, Kansas

Provider Information

NPI Number: 1093535148
Entity Type: Individual
Name: Grayson Montgomery
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 14, 2024
Last Updated: Oct 14, 2024

Practice Location

Address: 7500 W 161ST ST
City: Stilwell
State: Kansas
ZIP Code: 66085-9387
Phone: (913) 257-5185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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