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NPI Code Detail

MEDICARE: FAITH MONTELONGO MONTELONGO

MEDICARE: FAITH MONTELONGO MONTELONGO
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 : 1285590505
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH MONTELONGO MONTELONGO
Provider Business Mailing Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number : 781-215-5311
Fax Number : 781-865-5165
Provider Business Practice Location Address
First Line : 511 NEW HIGHWAY 96 W # 103
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-2554
Country : US
Telephone Number : 615-552-7080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “ FAITH MONTELONGO MONTELONGO ” Practice Location

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