Montesino Garcia, Viviana

Montesino Garcia, Viviana is an sole proprietor health care provider with primary practice located at 6415 Lake Worth Rd Ste 204 , Greenacres FL 33463-2904. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Montesino Garcia, Viviana can be contacted via phone (561) 771-9561.

Contact Information

Primary practice address
6415 Lake Worth Rd Ste 204 Greenacres FL 33463-2904
Phone: (561) 771-9561
Fax: (800) 766-3139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-110764 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-54061 Florida

Profile Details

NPI number 1174153563
LBN Legal business name Montesino Garcia, Viviana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2020
Last updated Jan 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174153563 NPPES
Florida MEDICAID 105779400

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