Individual ProviderKelli MontgomeryBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address584 E Bellevue Rd, Atwater, CA 95301-2300(559) 747-2177PECOS EnrollmentBased on the most recent information from CMS, provider Kelli Montgomery 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 today at 11:02 AM.Profile DetailsProvider ID1912536277Provider TypeIndividualFull NameMontgomery, KelliGenderFemaleSole ProprietorNoEnumeration Date4/7/2020Last Updated4/7/2020Contact InformationPractice LocationPractice Address584 E Bellevue Rd, Atwater, CA 95301-2300Phone(559) 747-2177FaxUnlisted FaxMailing LocationMailing Address584 E Bellevue Rd, Atwater, CA 95301-2300PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer