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NPI Code Detail

MEDICARE: RAQUEL MONTOYA

MEDICARE: RAQUEL MONTOYA
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
1103K00000XBehavior Analyst20090709447NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811372899
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL MONTOYA
Provider Business Mailing Address
First Line : 5135 CAMINO AL NORTE STE 206
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2391
Country : US
Telephone Number : 702-353-1786
Fax Number : 702-965-2455
Provider Business Practice Location Address
First Line : 5135 CAMINO AL NORTE STE 206
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2391
Country : US
Telephone Number : 702-353-1786
Fax Number : 702-965-2455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2015
Last Update Date : 07/20/2015

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Directions to “ RAQUEL MONTOYA ” Practice Location

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