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1669915807
KELLY MONTAGUE
IRVINE, CA
NPI
1669915807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-11-8230)
Enumeration Date
2016-11-21
Last Update Date
2017-03-07
Business Address
KELLY MONTAGUE M.S, BCBA
17911 SKY PARK CIR STE E
IRVINE, CA 92614-4303
Phone number: 949-302-1931
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Mailing Address
KELLY MONTAGUE M.S, BCBA
2973 HARBOR BLVD # 136
COSTA MESA, CA 92626-3912
Phone number: 949-302-1931
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