MS. TRACIE L MONTGOMERY (NPI# 1124588520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124588520 |
| Entity Type | Individual |
| Full Name | MS. TRACIE L MONTGOMERY |
| Practice Address |
4300 Latham St Ste 200 Riverside CA 92501-4334 |
| Practice Telephone | 9517792915 |
| Mailing Telephone | 9517792915 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
4300 LATHAM ST STE 200 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801333588 | David Kettle | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501 | 2017-01-19 |
| 1982202172 | Sharon Fayette Gutierrez | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-10-11 |
| 1124656723 | Kameron Hawks | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-03-30 |
| 1841826237 | Ashley Nicole Richardson | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-03-17 |
| 1164057246 | Jasmine Flores | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-03-09 |
| 1619502143 | Liliana Ruiz | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2020-03-05 |
| 1689135337 | Katherine Kani | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2019-03-26 |
| 1215497011 | Jacquelin Meza | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2019-03-20 |
| 1811456908 | Hitomi Matoba | Behavioral Analyst | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2019-03-18 |
| 1508325762 | Arlyn Janely Chajon | Behavior Technician | 4300 Latham St Ste 200, Riverside, CA 92501-4334 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1124632906 | Frances Darlene Fernandez | Behavioral Analyst | 6117 Brockton Ave Ste 202, Riverside, CA 92506-2207 | 2020-08-31 |
| 1790302206 | Priscilla Ramirez | Behavioral Analyst | 11801 Pierce St Ste 102, Riverside, CA 92505-4408 | 2020-06-30 |
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1265067300 | Wendy Acosta | Behavioral Analyst | 517 Glenhill Dr, Riverside, CA 92507-3004 | 2020-03-09 |
| 1992336069 | Dustin Le | Behavioral Analyst | 9309 Equestrian Dr, Riverside, CA 92503-7211 | 2020-01-28 |
| 1043859648 | Jeanette Soto | Behavioral Analyst | 11711 Collett Ave Apt 1835, Riverside, CA 92505-3785 | 2019-12-30 |
| 1083253959 | Melanny Garay | Behavioral Analyst | 3015 Sugarloaf Dr, Riverside, CA 92507-3007 | 2019-12-24 |
| 1194368977 | Alondra Itzamar Leon | Behavioral Analyst | 2595 Atlanta Ave Spc 70, Riverside, CA 92507-2457 | 2019-10-23 |
| 1740831684 | Alicia Hinojosa | Behavioral Analyst | 5750 Division St Ste 194, Riverside, CA 92506-3269 | 2019-09-23 |
| Find all providers in RIVERSIDE | ||||
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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.