MS. KYLIE ANN MONTGOMERY (NPI# 1104468917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104468917 |
| Entity Type | Individual |
| Full Name | MS. KYLIE ANN MONTGOMERY |
| Credential | RBT |
| Practice Address |
12650 N Beach St Suite 146 Fort Worth TX 76244 |
| Practice Telephone | 8557827822 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
12650 N BEACH ST SUITE 146 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| 1245717586 | Julia Dubose | Family Medicine | 4100 Heritage Trace Pkwy Ste 116, Fort Worth, TX 76244 | 2018-07-19 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544547 | Olivia Shinall | Behavior Technician | 3036 Briery Dr, Fort Worth, TX 76119-1571 | 2020-10-01 |
| 1043823271 | Mink Sandhu | Behavior Technician | 4233 Silverwood Trl, Fort Worth, TX 76244-4959 | 2020-08-27 |
| 1053946830 | Jasmine Waheed | Behavior Technician | 2425 Half Moon Bay Ln, Fort Worth, TX 76177-3015 | 2020-03-11 |
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1760043319 | Kailey Davis | Behavior Technician | 1100 Circle Dr Ste 101, Fort Worth, TX 76119-8111 | 2019-06-25 |
| 1053876482 | Hannah Burgos | Behavior Technician | 4537 Heritage Trace Pkwy Bldg 11a, Fort Worth, TX 76244-8921 | 2019-02-11 |
| 1538633581 | Adesuwa Phyllis Imade | Behavior Technician | 1751 River Run # 200, Fort Worth, TX 76107-6644 | 2019-01-13 |
| 1588185359 | Tamatha Weckwerth | Behavior Technician | 6133 Redear Dr, Fort Worth, TX 76179-7587 | 2017-07-03 |
| 1356874705 | Cymone Wisemon | Behavior Technician | 5200 Star Dr Apt 1617, Fort Worth, TX 76132-3321 | 2017-04-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on MS. KYLIE ANN MONTGOMERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.