Individual provider Active NPI

Adriana Montano

  • Behavior Analyst
  • San Ramon, CA
National Provider Identifier
1417424904
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-57778 Issued in CA
Practice address
2010 Crow Canyon PL Ste 100
San Ramon, CA 94583-1344
Phone
(855) 832-6727
Fax
(772) 675-9100
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-57778 CA Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

2010 Crow Canyon PL Ste 100
San Ramon, CA 94583-1344

Mailing address

7567 Amador Valley Blvd Ste 201
Dublin, CA 94568-2443
Phone (925) 640-1220

Other practice location 1

7567 Amador Valley Blvd Ste 201
Dublin, CA 94568-2443
Phone (925) 640-1220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hr@advancebt.com

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

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1417424904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7567 AMADOR VALLEY BLVD STE 201",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682443",
            "telephone_number": "925-640-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CROW CANYON PL STE 100",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831344",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7567 Amador Valley Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945682443",
            "country_code": "US",
            "telephone_number": "925-640-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "ADRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-57778",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hr@advancebt.com",
            "affiliation": "N",
            "address_1": "7567 Amador Valley Blvd Ste 201",
            "city": "Dublin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945682443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.