Provider Demographics
NPI:1316794647
Name:MONTELONGO, JOELYNN RAMONA
Entity type:Individual
Prefix:
First Name:JOELYNN
Middle Name:RAMONA
Last Name:MONTELONGO
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 1:581 POMONA AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4890
Mailing Address - Country:US
Mailing Address - Phone:559-341-3799
Mailing Address - Fax:
Practice Address - Street 1:581 POMONA AVE APT 3
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-4890
Practice Address - Country:US
Practice Address - Phone:559-341-3799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst