Healthcare Provider Details

I. General information

NPI: 1275463044
Provider Name (Legal Business Name): PRISCILLA BRIANNA MONTES RBT-25-403222
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 E SPEEDWAY BLVD
TUCSON AZ
85719-4515
US

IV. Provider business mailing address

5600 S MIDVALE PARK RD APT 3307
TUCSON AZ
85746-3265
US

V. Phone/Fax

Practice location:
  • Phone: 520-222-8847
  • Fax:
Mailing address:
  • Phone: 626-203-5839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-403222
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: