Montera Health Illinois LLC
NPI #1376299008 in Springfield, Illinois
Provider Information
- NPI Number
- 1376299008
- Entity Type
- Organization
- Organization Name
- Montera Health Illinois LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Feb 22, 2022
- Last Updated
- Jan 31, 2024
Practice Location
- Address
- 2501 CHATHAM RD STE R
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-4188
- Phone
- (865) 680-1516
Authorized Official
- Name
- QINGQING MAO
- Title
- ADMIN
- Phone
- (415) 805-1725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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