Grayson Montgomery
Individual provider Active NPI Behavior Technician · Stilwell, KS
NPI 1093535148 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1093535148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-384362
- Practice address
- 7500 W 161St St
Stilwell, KS 66085-9387 - Phone
- (913) 257-5185
- NPI assigned
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Behavior Project LLC | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-384362 | Yes |
Addresses
Primary practice location
7500 W 161St St
Stilwell, KS 66085-9387
Mailing address
9153 W 133Rd St
Overland Park, KS 66213-4333
Phone (913) 257-5185
Other practice location 1
7911 Metcalf Ave
Overland Park, KS 66204-3836
Phone (913) 257-5185
Other practice location 2
9153 W 133rd St
Overland Park, KS 66213-4333
Phone (913) 257-5185
Other providers in Stilwell, KS
- Marsha B Lawrence
- Shelley L Lewis
- Guy Martinat
- Hillary M Masters
- Hannah Minich
- Lianna Morelli
- Victoria Opp
- Tanner Parr
- Gabrielle Kathleen Patterson
- Physician Management and Marketing, Inc.
All providers in Stilwell, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.