Alyssa Marie Montelongo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56896 Issued in TX

Practice address

940 S Legacy Dr Ste 15
Prosper, TX 75078-2940

Phone

(469) 780-4897

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cutting Edge Pediatric Therapy

  • Pediatric Occupational Therapist
  • Allen, TX
  • NPI 1720327091

  Behavior Analyst

  NPD
• Austin Connect to Wellness, LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1457784605
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1417448630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S LEGACY DR STE 15",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782940",
            "telephone_number": "469-780-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S LEGACY DR STE 15",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782940",
            "telephone_number": "469-780-4897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5580 Collin McKinney Pkwy",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750701956",
            "country_code": "US",
            "telephone_number": "469-678-7670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Junction Dr",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750135290",
            "country_code": "US",
            "telephone_number": "469-675-3153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10503 Metric Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752435514",
            "country_code": "US",
            "telephone_number": "972-644-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTELONGO",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-17-45722",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-21-56896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Manuel Moncada, DDS,MS
• Julia Monge
• Kathie Monrreal
• Adrienne Montani
• Sabrina Monteiro
• Benjamin Jacob Montoya, BCBA
• Jaelan Moore
• Kristy Dawn Moore, FNP-C
• Ximena Morales
• Elizabeth Lynne Morand, MS, LPC, ATR-P

• Behavior Analyst in Prosper, TX
• Providers in Prosper, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.