MEDICARE: ZACHARY R MONTOTO RBT

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
1	106S00000X	Behavior Technician
2	225X00000X	Occupational Therapist	OT25503	FL

General Provider Information

NPI Number	:	1760056717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY R MONTOTO RBT

Provider Business Mailing Address
First Line	:	2047 SW 131ST PLACE CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-1344
Country	:	US
Telephone Number	:	305-202-1028
Fax Number	:

Provider Business Practice Location Address
First Line	:	2047 SW 131ST PLACE CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-1344
Country	:	US
Telephone Number	:	305-202-1028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2021
Last Update Date	:	12/27/2024

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