Ivan Federico Montenegro, MS, BEHAVIOR ANALYST

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53131 Issued in CA

Practice address

578 S Prospero Dr
Covina, CA 91723-3250

Phone

(213) 548-0555

NPI assigned

Dec 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Instinct Behavior Analysis

  • Behavior Analyst
  • Covina, CA
  • NPI 1679330583
  NPD Authorized official
• Quantum Behavioral Solutions, Inc.

  • Community/Behavioral Health Agency
  • Duarte, CA
  • NPI 1407193162
  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1083251987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 S PROSPERO DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233250",
            "telephone_number": "213-548-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 S PROSPERO DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233250",
            "telephone_number": "213-548-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902924",
            "country_code": "US",
            "telephone_number": "213-548-0555",
            "fax_number": "310-817-2181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "IVAN",
        "middle_name": "FEDERICO",
        "credential": "MS, BEHAVIOR ANALYST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-53131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "05-0617904",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Montalvo
• Dawn Montanez
• Mariana Montano
• Crisca Janine Diswe Montemayor
• Carmen Montenegro-Sis, LMFT
• Corina Monter
• Krystal Isabel Montes, ATC
• Marcangelo Montes
• Marcela Montes
• Susana Montes

• Behavior Analyst in Covina, CA
• Providers in Covina, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.