KELLY MONTAGUE (NPI# 1669915807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669915807 |
| Entity Type | Individual |
| Full Name | KELLY MONTAGUE |
| Credential | M.S, BCBA |
| Practice Address |
17911 Sky Park Cir Ste E Irvine CA 92614-4303 |
| Mailing Address |
2973 Harbor Blvd # 136 Costa Mesa CA 92626-3912 |
| Practice Telephone | 9493021931 |
| Practice Fax Number | 9492713741 |
| Mailing Telephone | 9493021931 |
| Mailing Fax Number | 9492713741 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-11-8230 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760764 | Kelly Montague | Specialist/Technologist | 520 Biltmore Ave, Asheville, NC 28801-4602 | 2017-10-02 |
| Street Address |
17911 SKY PARK CIR STE E |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508250556 | Center for Behavioral Sciences, Inc. | Behavioral Analyst | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2015-03-26 |
| 1699306043 | Alicia Hammond | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2020-02-03 |
| 1326679770 | Maiya Bertrand | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2020-02-03 |
| 1801427257 | Dina Suasnabar | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2020-02-03 |
| 1255962601 | Haley Conroy | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2020-02-03 |
| 1619508066 | Alexander Carr | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2020-02-03 |
| 1922648096 | Alex Deng | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2020-01-07 |
| 1548800618 | Fatemah Sarsak | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2020-01-07 |
| 1710527882 | Brittany Pegues | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2020-01-07 |
| 1912544321 | Diana Figueroa | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2019-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| 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 |
|---|---|---|---|---|
| 1003427204 | Janki Merai | Behavioral Analyst | 51 Dorado, Irvine, CA 92618-1318 | 2020-08-11 |
| 1326609918 | Jessica Ann Marines | Behavioral Analyst | 5200 Bonita Canyon Dr, Irvine, CA 92603-0165 | 2019-06-24 |
| 1881254035 | Kassandra De Jesus Aguilar | Behavioral Analyst | 562 Saint Vincent, Irvine, CA 92618-3933 | 2019-06-19 |
| 1851957476 | Brandon Reeder | Behavioral Analyst | 18008 Sky Park Cir Ste 100, Irvine, CA 92614-6434 | 2019-05-20 |
| 1083277172 | Reece Arthur | Behavioral Analyst | 16782 Von Karman Ave Ste 21, Irvine, CA 92606-2418 | 2019-04-15 |
| 1962976118 | Cameron Tyler Fateri | Behavioral Analyst | 47 Golden Eagle, Irvine, CA 92603-0308 | 2019-01-21 |
| 1326512575 | Paula Andrea Echeverry Sandoval | Behavioral Analyst | 93 Stepping Stone, Irvine, CA 92603-4207 | 2019-01-21 |
| 1053884049 | Darlene Varciag | Behavioral Analyst | 44 Kazan St, Irvine, CA 92604-2456 | 2019-01-02 |
| 1669956074 | Behavioral Education Skill Treatment Center | Behavioral Analyst | 17802 Sky Park Cir Ste 105, Irvine, CA 92614-6405 | 2018-09-20 |
| 1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
| Find all providers in IRVINE | ||||
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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.