NPI 1497402085
Montera Health South Dakota LLC
Practice location
- Address
- 25 1st Ave SW STE a, Watertown, SD 57201-3507
- Phone
- (865) 680-1516
Authorised official
- Name
- Qingqing Mao
- Title
- Admin
- Phone
- (415) 805-1725
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1497402085
- Entity type
- Organization
- NPI issued
- 3 Mar 2022
- Record last updated
- 31 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.