Shanetris Montague
Shanetris Montague is an Attendant Care Provider in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.
- Licensed in
- GA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1708 Fresno StValdosta, GA 31602-7185
Phone: (352) 281-3272
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-23-264791 (GA) |
|---|---|
| Attendant Care Provider | Taxonomy 3747A0650X |
Record details
| NPI number | 1417613407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 13, 2021 |
| Last updated in NPPES | March 24, 2023 |
| Certification date | December 6, 2021 |