Individual provider Active NPI

Abigail Linn Montgomery

  • Behavior Analyst
  • New York Mills, MN
National Provider Identifier
1255847604
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44162 Issued in MN
Practice address
53869 440TH St
New York Mills, MN 56567-9312
Phone
(218) 282-1077
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-44162 MN Primary

Addresses

Primary practice location

53869 440TH St
New York Mills, MN 56567-9312

Mailing address

53869 440TH St
New York Mills, MN 56567-9312
Phone (218) 282-1077

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reframe Behavior Consulting LLC Behavior Analyst CurrentSince May 1, 2024 Accepting new patients
Alight Behavioral Therapy LLC Behavior Analyst Past Accepting new patients
Solutions Behavioral Healthcare Professionals, PC PastSince Dec 1, 2019 Accepting new patients

Locations

101 2nd Ave SE
Ste 180
Perham, MN 56573
Phone (218) 282-1077

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1255847604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53869 440TH ST",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565679312",
            "telephone_number": "218-282-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53869 440TH ST",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565679312",
            "telephone_number": "218-282-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ABIGAIL",
        "middle_name": "LINN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-20-44162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York Mills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.