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NPI 1487509857

NPI 1487509857 : SHANIA MONTANO : PALMETTO BAY, FL

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General NPI Number Information
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    NPI Number           |    1487509857
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    Entity Type          |    Individual 
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    Provider Name        |    SHANIA MONTANO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/02/2026
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    Last Update Date     |    03/02/2026
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Provider Practice Location Address
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    Address Line         |    9555 SW 175TH TER OFC 229 
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    City                 |    PALMETTO BAY
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    State                |    FL
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    Zip                  |    33157-5604
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    Country              |    US
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    Telephone            |    305-972-1879
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    Fax                  |    305-564-6808
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Provider Business Mailing Address
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    Address Line         |    15272 SW 297TH TER 
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    City                 |    HOMESTEAD
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    State                |    FL
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    Zip                  |    33033-3653
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-26-508082
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    License Number State |    
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