Provider Demographics
NPI:1568262533
Name:KEITH, DEONTE HOWARD MONTEZ
Entity type:Individual
Prefix:
First Name:DEONTE
Middle Name:HOWARD MONTEZ
Last Name:KEITH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 DEMONBREUN ST APT 2902
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-2362
Mailing Address - Country:US
Mailing Address - Phone:615-673-5839
Mailing Address - Fax:
Practice Address - Street 1:205 DEMONBREUN ST APT 2902
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37201-2362
Practice Address - Country:US
Practice Address - Phone:615-673-5839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician