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NPI Code Detail

MEDICARE: AMBER DURAN MONTES

MEDICARE: AMBER DURAN MONTES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1205543998
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER DURAN MONTES
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 5022 TENNYSON PKWY
Second Line :
City : PLANO
State : TX
Zip : 75024-3151
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2022
Last Update Date : 10/14/2025

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