MS. MARY JEAN MONTGOMERY


Address: 732 Beckman Street, Dayton, OH 45410-2165
Phone: 9373015678

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician 111042 OH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH AETNA 600540025 01
OH AETNA 106S00000X 01

Other Providers MARY MONTGOMERY

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

Office Location

Street Address 732 BECKMAN STREET
City DAYTON
State OH
Zip Code 45410-2165

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City DAYTON
Zip Code 45410

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Dataset Information

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.

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