NPI 1497402085 · live from the CMS NPI Registry
Montera Health South Dakota LLC
Behavior Analyst in Watertown, SD. National Provider Identifier 1497402085, active.
NPI record
| NPI | 1497402085 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 25 1st Ave Sw Ste A, Watertown, SD 57201 |
| Practice phone | 865-680-1516 |
| Enumerated | March 3, 2022 |
| Last updated | January 31, 2024 |
| Authorized official | Qingqing Mao, Admin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.