Ivan Federico Montenegro, BACHELORS OF ARTS is a
Behavior Analyst based in Covina, California. Ivan Federico Montenegro is licensed to practice in California (license number 1-21-53131) and his current practice location is
578 S Prospero Dr, Covina, California. He can be reached at his office (for appointments etc.) via phone at
(213) 548-0555.
NPI number for Ivan Federico Montenegro is 1083251987 and his current mailing address is 578 S Prospero Dr, Covina, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083251987.
Healthcare Provider's Profile
| Full Name | Ivan Federico Montenegro |
|---|
| Gender | Male |
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| Speciality | Behavior Analyst |
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| Location | 578 S Prospero Dr, Covina, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083251987
- Provider Enumeration Date: 12/10/2019
- Last Update Date: 01/15/2025
Medical Identifiers
Medical identifiers for Ivan Federico Montenegro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083251987 | NPI | - | NPPES |
| 05-0617904 | Other | CA | PRIVATE INSURANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | 1-21-53131 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Federico Montenegro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ivan Federico Montenegro, BACHELORS OF ARTS
578 S Prospero Dr,
Covina, CA 91723-3250
Ph: (213) 548-0555 | Ivan Federico Montenegro, BACHELORS OF ARTS
578 S Prospero Dr,
Covina, CA 91723-3250
Ph: (213) 548-0555 |
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