Provider Demographics
NPI:1033849294
Name:MONTES, JOSE L JR (RBT)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:L
Last Name:MONTES
Suffix:JR
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 OLD CHUNNS COVE RD APT 2
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1476
Mailing Address - Country:US
Mailing Address - Phone:727-479-7203
Mailing Address - Fax:
Practice Address - Street 1:17 OLD CHUNNS COVE RD APT 2
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1476
Practice Address - Country:US
Practice Address - Phone:727-479-7203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-12
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB763781106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCBACB763781OtherBACB