MS. Mary Jean Montgomery, LCDCII, A.A.S.

NPI #1285126052 in Dayton, Ohio

Provider Information

NPI Number: 1285126052
Entity Type: Individual
Name: MS. Mary Jean Montgomery, LCDCII, A.A.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: LCDCII, A.A.S.
Enumeration Date: Jun 6, 2018
Last Updated: Jun 6, 2018

Practice Location

Address: 732 BECKMAN STREET
City: Dayton
State: Ohio
ZIP Code: 45410-2165
Phone: (937) 301-5678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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