Provider Demographics
NPI:1306481874
Name:MONTANERO, REBECA E (MA, BCBA)
Entity type:Individual
Prefix:
First Name:REBECA
Middle Name:E
Last Name:MONTANERO
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 DALY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-3018
Mailing Address - Country:US
Mailing Address - Phone:609-707-2469
Mailing Address - Fax:
Practice Address - Street 1:1902 FAIRFAX AVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2007
Practice Address - Country:US
Practice Address - Phone:856-927-7630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-08
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst