Montera Health Montana LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MONTERA HEALTH MONTANA LLC

Practice address

1001 S Main St Ste 500
Kalispell, MT 59901-5635

Phone

(865) 680-1516

NPI assigned

Mar 3, 2022

Last updated

Jan 31, 2024By the provider in NPPES

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1396492989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST STE 500",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015635",
            "telephone_number": "865-680-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST STE 500",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015635",
            "telephone_number": "865-680-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTERA HEALTH MONTANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "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": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Behavior Analyst in Montana

• 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.