Provider Demographics
NPI:1164651493
Name:VALENTE MONTANARO, TERESA (BA)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:VALENTE MONTANARO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:VALENTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3238
Mailing Address - Country:US
Mailing Address - Phone:215-885-1252
Mailing Address - Fax:215-885-1310
Practice Address - Street 1:601 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3238
Practice Address - Country:US
Practice Address - Phone:215-885-1252
Practice Address - Fax:215-885-1310
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-09-5329103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst