OrganizationMontera Health Wisconsin LlcBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address2800 E Enterprise Ave Ste 333, Appleton, WI 54913-7889(865) 680-1516PECOS EnrollmentBased on the most recent information from CMS, provider Montera Health Wisconsin Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285380915Provider TypeOrganizationFull NameMontera Health Wisconsin LlcSubpartNoEnumeration Date2/22/2022Last Updated1/31/2024Contact InformationPractice LocationPractice Address2800 E Enterprise Ave Ste 333, Appleton, WI 54913-7889Phone(865) 680-1516FaxUnlisted FaxMailing LocationMailing Address2800 E Enterprise Ave Ste 333, Appleton, WI 54913-7889Phone(865) 680-1516FaxUnlisted FaxAuthorized OfficialNameMao, Qingqing (Admin)Phone(415) 805-1725Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer