NPI 1619624202
Montera Health Idaho LLC
Practice location
- Address
- 784 S Clearwater Loop STE R, Post Falls, ID 83854-9599
- Phone
- (865) 680-1516
- Mailing address
- 8059 W. Preece Drive #1078, Boise, ID 83704
Authorised official
- Name
- Qingqing Mao
- Title
- Admin
- Phone
- (415) 805-1725
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1619624202
- 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.