Alexis L Montgomery

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

COBA.00545 Issued in OH

Practice address

753 Cross Pointe Rd Ste B
Gahanna, OH 43230-7046

Phone

(304) 320-9931

NPI assigned

Apr 8, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haugland Learning Center

  • In Home Supportive Care Agency
  • Columbus, OH
  • NPI 1265892400
  NPD (past)
• Haugland, Lamarche, and Ramage LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1346678190
  NPD (past)
• Reach Educational Services LLC

  • Behavior Analyst
  • Columbus, OH
  • NPI 1346630902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1013303866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 CROSS POINTE RD STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432307046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 CROSS POINTE RD STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432307046",
            "telephone_number": "304-320-9931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7690 New Market Center Way",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351976",
            "country_code": "US",
            "telephone_number": "614-602-6473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2540 Billingsley Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351990",
            "country_code": "US",
            "telephone_number": "614-602-6473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ALEXIS",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.00545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamoud A Mohamed
• Muad Dalmar Mohamed
• Stephen Mohr, LPCC-S
• Mary Monroe, PT, DPT
• Erik Kyle Monson, DPM
• Emily Montgomery, LICDC
• Matthew Montgomery, DPT
• Monica Cecilia Montoya, LPN
• Cora Spring Moon, LISW
• Alan E Moore, D.D.S.

• Behavior Analyst in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.