MEDICARE: DEONTE HOWARD MONTEZ KEITH

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		TN

General Provider Information

NPI Number	:	1568262533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEONTE HOWARD MONTEZ KEITH

Provider Business Mailing Address
First Line	:	205 DEMONBREUN ST APT 2902
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37201-2362
Country	:	US
Telephone Number	:	615-673-5839
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 DEMONBREUN ST APT 2902
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37201-2362
Country	:	US
Telephone Number	:	615-673-5839
Fax Number	:

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

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	03/18/2025

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Directions to “ DEONTE HOWARD MONTEZ KEITH ” Practice Location

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