Montera Health Indiana LLC
NPI #1427702042 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1427702042
- Entity Type
- Organization
- Organization Name
- Montera Health Indiana LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Feb 11, 2022
- Last Updated
- Jan 31, 2024
Practice Location
- Address
- 5534 SAINT JOE RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46835-3328
- 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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