MEDICARE: JOEY MONTIEL

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	RBT-26-522019	CA

General Provider Information

NPI Number	:	1558219246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEY MONTIEL

Provider Business Mailing Address
First Line	:	28403 S CHRISMAN RD
Second Line	:
City	:	TRACY
State	:	CA
Zip	:	95304-8101
Country	:	US
Telephone Number	:	209-998-3638
Fax Number	:	209-336-0034

Provider Business Practice Location Address
First Line	:	28403 S CHRISMAN RD
Second Line	:
City	:	TRACY
State	:	CA
Zip	:	95304-8101
Country	:	US
Telephone Number	:	209-998-3638
Fax Number	:	209-336-0034

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

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ JOEY MONTIEL ” Practice Location

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