NPIMap

Organization Active NPI

Tara L. Montemurro, Licensed Behavior Analyst, P.C

  • Early Intervention Provider Agency
  • Middletown, NY
National Provider Identifier
1124650494
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
TARA L. MONTEMURRO, LICENSED BEHAVIOR ANALYST, P.C
Practice address
2250 Goshen Tpke
Middletown, NY 10941-4031
Phone
(845) 673-5636
Fax
(844) 760-0153
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Tara Montemurro, MA, LBA, BCBANPI 1962637637
Title
President
Phone
(845) 673-5636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

2250 Goshen Tpke
Middletown, NY 10941-4031

Mailing address

PO Box 586
Goshen, NY 10924-0586
Phone (845) 673-5636

Other names 1

  • The Behavior Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tara L Montemurro Licensed Behavior Analyst PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2250 Goshen Tpke
Middletown, NY 10941
Phone (845) 360-5744

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1124650494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109240586",
            "telephone_number": "845-673-5636",
            "fax_number": "844-760-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GOSHEN TPKE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414031",
            "telephone_number": "845-673-5636",
            "fax_number": "844-760-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA L. MONTEMURRO, LICENSED BEHAVIOR ANALYST, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "MONTEMURRO",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-673-5636",
        "authorized_official_credential": "MA, LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Behavior Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.