Provider Demographics
NPI:1215712518
Name:CARINO, BECKY MONTOYA
Entity type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:MONTOYA
Last Name:CARINO
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 1:2363 E NATHAN WAY
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2809
Mailing Address - Country:US
Mailing Address - Phone:520-450-1137
Mailing Address - Fax:
Practice Address - Street 1:2363 E NATHAN WAY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2809
Practice Address - Country:US
Practice Address - Phone:520-450-1137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker