Montera Health Georgia Llc | |
300 Colonial Center Pkwy Ste 100 Roswell GA 30076-4892 | |
(865) 680-1516 | |
Not Available |
Full Name | Montera Health Georgia Llc |
---|---|
Speciality | Behavior Analyst |
Location | 300 Colonial Center Pkwy Ste 100, Roswell, Georgia |
Authorized Official Name and Position | Qingqing Mao (ADMIN) |
Authorized Official Contact | 4158051725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Montera Health Georgia Llc 300 Colonial Center Pkwy Ste 100 Roswell GA 30076-4892 Ph: (865) 680-1516 | Montera Health Georgia Llc 300 Colonial Center Pkwy Ste 100 Roswell GA 30076-4892 Ph: (865) 680-1516 |
NPI Number | 1861146482 |
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Provider Enumeration Date | 02/11/2022 |
Last Update Date | 01/31/2024 |
Certification Date | 01/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861146482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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