Montera Health Idaho LLC

NPI #1619624202 in Post Falls, Idaho

Provider Information

NPI Number
1619624202
Entity Type
Organization
Organization Name
Montera Health Idaho LLC
Primary Specialty
Behavior Analyst
Enumeration Date
Mar 3, 2022
Last Updated
Jan 31, 2024

Practice Location

Address
784 S CLEARWATER LOOP STE R
State
Idaho
ZIP Code
83854-9599
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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