MS. MARY JEAN MONTGOMERY (NPI# 1285126052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285126052 |
Entity Type | Individual |
Full Name | MS. MARY JEAN MONTGOMERY |
Credential | LCDCII, A.A.S. |
Practice Address |
732 Beckman Street Dayton OH 45410-2165 |
Practice Telephone | 9373015678 |
Mailing Telephone | 9372531680 |
Mailing Fax Number | 9372531337 |
Enumeration Date | 2018-06-06 |
Last Update Date | 2018-06-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | 111042 | OH | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | AETNA | 600540025 | 01 |
OH | AETNA | 106S00000X | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447415963 | Mary Berno Montgomery | Case Manager/Care Coordinator | 307 S. Madison St, Giddings, TX 78942-4221 | 2008-07-24 |
1841346475 | Mary Ann Montgomery | Psychiatry & Neurology | 554 Prim St, Ashland, OR 97520-1570 | 2007-01-26 |
1790846475 | Mary L Montgomery | Nurse Practitioner | 2329 4th Ave, Seattle, WA 98121-1717 | 2006-12-13 |
1376626390 | Mary Susan Knowles Montgomery | Speech-Language Pathologist | 1018 Hagler Dr, Neptune Beach, FL 32266-3756 | 2006-10-23 |
1275621567 | Mary Courts Montgomery | Dietitian, Registered | 2408 Ridgeford Ct, Fuquay Varina, NC 27526-9000 | 2006-10-11 |
1518506468 | Mary A Montgomery | Physical Therapist | 625 Enterprise Dr, Oak Brook, IL 60523-8813 | 2019-12-24 |
1811535826 | Mary Montgomery | Technician | 5852 S Pecos Rd Ste 5, Las Vegas, NV 89120-3490 | 2019-12-20 |
1649824806 | Mary Montgomery | Case Manager/Care Coordinator | 1760 Texas St, Natchitoches, LA 71457-3429 | 2019-07-26 |
1043780026 | Mary Montgomery | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-12-03 |
1790226173 | Mary Montgomery | Counselor | 693 S 400 E, Brigham City, UT 84302-2924 | 2017-03-17 |
Street Address |
732 BECKMAN STREET |
City | DAYTON |
State | OH |
Zip Code | 45410-2165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548217748 | Nova Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 732 Beckman Street, Dayton, OH 45410-2165 | 2006-05-31 |
1720569346 | Jennifer Marie Howell | Social Worker | 732 Beckman Street, Dayton, OH 45410 | 2018-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376010801 | Yolanda D Howard | Counselor | 519 Xenia Ave, Dayton, OH 45410 | 2018-11-02 |
1265713713 | Amber Howard | Counselor | 1500 Coventry Rd, Dayton, OH 45410 | 2011-08-29 |
1386815207 | Heather Lynne Waggoner | Social Worker | 600 Wayne Avenue, Dayton, OH 45410 | 2008-03-19 |
1104973882 | Byron G Epley Dds Inc | Dentist | 709 Xenia Ave, Dayton, OH 45410 | 2007-01-04 |
1720572829 | Malinda Kirk | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-21 |
1861986168 | Taiyana Mickey | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-20 |
1427542182 | Tanisha Reynolds | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-17 |
1033606892 | Brittni Wilkinson | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-04-17 |
1881198612 | Jacob Sauer | Counselor | 600 Wayne Ave, Dayton, OH 45410 | 2018-03-19 |
1295186898 | Stephanie Louise Weigel | Nurse Practitioner | 600 Wayne Avenue, Dayton, OH 45410 | 2016-06-24 |
Find all providers in zip 45410 |
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 |
---|---|---|---|---|
1205493020 | Alyssa Polequin | Behavior Technician | 55 Skeeter Ln., Dayton, OH 45458-3881 | 2019-05-28 |
1104482835 | Ashley Nicole Baliff | Behavior Technician | 14088 Big Branch Dr, Dayton, MD 21036-1253 | 2019-05-17 |
1235694753 | Stacey R Thomas | Behavior Technician | 1404 Gascho Dr, Dayton, OH 45410-3305 | 2019-02-08 |
1154837201 | Lisa Diane Alford | Behavior Technician | 509 Yellow Jacket Rd, Dayton, NV 89403-8081 | 2017-12-26 |
1831620897 | Sarah Rachael Dean | Behavior Technician | 617 Aja Pl, Dayton, NV 89403-3010 | 2017-03-22 |
1538769237 | Bianca M Redwine | Behavior Technician | 1404 Gascho Dr, Dayton, OH 45410-3305 | 2020-10-30 |
1881293629 | Olivia Jimenez Benner | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-10-22 |
1770182511 | Audrey Brown | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-10-22 |
1215536057 | Ciara Smith | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-10-22 |
1831797042 | Kristen Harting | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-10-12 |
Find all providers in DAYTON |
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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.