Provider Demographics
NPI:1760006795
Name:MONTALMONT FLINT, BIANCA S (LBA, LBS, BCBA)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:S
Last Name:MONTALMONT FLINT
Suffix:
Gender:F
Credentials:LBA, LBS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23576
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-8576
Mailing Address - Country:US
Mailing Address - Phone:412-583-8565
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 23576
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-8576
Practice Address - Country:US
Practice Address - Phone:412-583-8565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ15BC00202000103K00000X
PA1-19-38919103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty