Provider Demographics
NPI:1871326157
Name:MONTOYA, CHRISTINA R
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:R
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3752 PROGRESS CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-5455
Mailing Address - Country:US
Mailing Address - Phone:702-610-0769
Mailing Address - Fax:
Practice Address - Street 1:3752 PROGRESS CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-5455
Practice Address - Country:US
Practice Address - Phone:702-610-0769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician