NPI 1003570656

Andrea Montgomery

Practitioner Behavior Technician Bridgeton, MO

Practice location

Address: 12355 Depaul Dr., Bridgeton, MO 63044
Phone: (314) 344-7200
Mailing address: 1430 Olive St STE 400, Saint Louis, MO 63103-2303

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003570656
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2021
Record last updated: 28 Oct 2021

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.