Active NPI
Noelle Montgomery, M.A., BCBA
- Behavior Analyst
- Burbank, CA
National Provider Identifier
1063984243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-34167
- Practice address
- 2101 N Glenoaks Blvd
Burbank, CA 91504-2828 - Phone
- (818) 848-8825
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-34167 | Primary |
Addresses
Primary practice location
2101 N Glenoaks Blvd
Burbank, CA 91504-2828
Mailing address
1200 W Riverside Dr Apt 351
Burbank, CA 91506-3146
Phone (661) 378-3882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-34167 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1063984243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W RIVERSIDE DR APT 351",
"city": "BURBANK",
"state": "CA",
"postal_code": "915063146",
"telephone_number": "661-378-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N GLENOAKS BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915042828",
"telephone_number": "818-848-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "NOELLE",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-34167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-18-34167",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.