Provider Demographics
NPI:1982944815
Name:MONTELBANO, BELINDA M (BCBA)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:M
Last Name:MONTELBANO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 OAK POINTE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-5316
Mailing Address - Country:US
Mailing Address - Phone:912-275-8697
Mailing Address - Fax:912-456-3051
Practice Address - Street 1:650 SCRANTON RD STE C
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-1930
Practice Address - Country:US
Practice Address - Phone:912-275-8697
Practice Address - Fax:912-456-3051
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0-13-5335103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst