Maryam Montelongo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45369 Issued in CA

Practice address

223 E Thousand Oaks Blvd Ste 100
Thousand Oaks, CA 91360-7708

Phone

(714) 834-1111

NPI assigned

Jan 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maryam Metyas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1568979201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18008 SKY PARK CIR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E THOUSAND OAKS BLVD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607708",
            "telephone_number": "714-834-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18008 Sky Park Cir",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146433",
            "country_code": "US",
            "telephone_number": "949-474-1493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18008 Sky Park Cir",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146433",
            "country_code": "US",
            "telephone_number": "949-447-0816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTELONGO",
        "first_name": "MARYAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-45369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYAM",
            "last_name": "METYAS",
            "credential": "BA, RBT, BLS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arash Monem, PHARM D
• Amit Monga, MD
• Sonia Monga, M.D.
• Cari Elizabeth Monraz
• Stephanie Montalvan, MD
• Jonathan Vera Monteverdi
• Alex Montez, P.A.
• Joanne C.S. Montgomery, LCSW, RMT
• Bethany Montoya, BA, RBT
• Jeongeun Moon

• Behavior Analyst in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.