Active NPI
Maverick Education & Behavioral Solutions, LLC
- Behavior Analyst
- Fair Oaks, CA
National Provider Identifier
1528332012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1000030
- Legal business name
- MAVERICK EDUCATION & BEHAVIORAL SOLUTIONS, LLC
- Practice address
- 7949 California Ave Ste 14
Fair Oaks, CA 95628-7156 - Phone
- (916) 863-7949
- NPI assigned
- Feb 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Montgomery, M.S., B.C.B.A.
- Title
- Ceo/Owner
- Phone
- (916) 983-7949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1000030 | CA | Primary |
| Early Intervention Provider Agency | 252Y00000X | 1000030 | CA |
Addresses
Primary practice location
7949 California Ave Ste 14
Fair Oaks, CA 95628-7156
Mailing address
7949 California Ave Ste 14
Fair Oaks, CA 95628-7156
Phone (916) 863-7949
National Provider Directory
National Provider DirectoryLocations
7949 California Ave
Ste 14
Fair Oaks, CA 95628
Phone (916) 863-7949
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Fair Oaks, CA
- NPI 1578836409
-
- Behavior Technician
- San Jose, CA
- NPI 1760095319
-
- Behavior Analyst
- Napa, CA
- NPI 1548859390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330473600000",
"number": "1528332012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7949 CALIFORNIA AVE STE 14",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287156",
"telephone_number": "916-863-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7949 CALIFORNIA AVE STE 14",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287156",
"telephone_number": "916-863-7949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAVERICK EDUCATION & BEHAVIORAL SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-29",
"last_updated": "2012-02-29",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "916-983-7949",
"authorized_official_credential": "M.S., B.C.B.A."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1000030",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "CA",
"license": "1000030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.