Provider Demographics
NPI:1619862349
Name:CRUZ MONTOYA, KARLA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:CRUZ 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 1:3450 PALENCIA DR APT 906
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-1850
Mailing Address - Country:US
Mailing Address - Phone:239-922-0303
Mailing Address - Fax:
Practice Address - Street 1:3450 PALENCIA DR APT 906
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-1850
Practice Address - Country:US
Practice Address - Phone:239-922-0303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst