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NPI Code Detail

MEDICARE: JORDAN-ALLISON MONTALBO

MEDICARE: JORDAN-ALLISON MONTALBO
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 AnalystFL
2106S00000XBehavior Technician

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 : 1841883535
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN-ALLISON MONTALBO
Provider Business Mailing Address
First Line : 6973 UNIVERSITY BLVD
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-6713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6973 UNIVERSITY BLVD
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-6713
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2021
Last Update Date : 07/31/2024

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Directions to “ JORDAN-ALLISON MONTALBO ” Practice Location

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