Amanda Danielle Fragoso Montano

NPI #1437882297 in Los Ranchos, New Mexico

Provider Information

NPI Number: 1437882297
Entity Type: Individual
Name: Amanda Danielle Fragoso Montano
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 7, 2022
Last Updated: Jul 7, 2022

Practice Location

Address: 339 NARA VISA CT NW
City: Los Ranchos
State: New Mexico
ZIP Code: 87107-6155
Phone: (505) 554-8033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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