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NPI Code Detail

MEDICARE: BETSY MERY MONTESINO

MEDICARE:   BETSY MERY MONTESINO
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 TechnicianRBT-24-328098FL

General Provider Information

NPI Number : 1821842170
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETSY MERY MONTESINO
Provider Business Mailing Address
First Line : 10481 SW 216TH ST APT 206
Second Line :
City : CUTLER BAY
State : FL
Zip : 33190-1644
Country : US
Telephone Number : 305-497-0457
Fax Number :
Provider Business Practice Location Address
First Line : 10481 SW 216TH ST APT 206
Second Line :
City : CUTLER BAY
State : FL
Zip : 33190-1644
Country : US
Telephone Number : 305-497-0457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 04/15/2024

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Directions to “ BETSY MERY MONTESINO ” Practice Location

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