Montera Health Wisconsin LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MONTERA HEALTH WISCONSIN LLC

Practice address

2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889

Phone

(865) 680-1516

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Qingqing Mao

Title

Admin

Phone

(415) 805-1725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1285380915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E ENTERPRISE AVE STE 333",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137889",
            "telephone_number": "865-680-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E ENTERPRISE AVE STE 333",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137889",
            "telephone_number": "865-680-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTERA HEALTH WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "QINGQING",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "415-805-1725"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Appleton, WI
• Providers in Appleton, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.