Montera Health North Carolina LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MONTERA HEALTH NORTH CAROLINA LLC

Practice address

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010

Phone

(865) 680-1516

NPI assigned

Mar 3, 2022

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": "1598412181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD STE 349",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090010",
            "telephone_number": "865-680-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD STE 349",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090010",
            "telephone_number": "865-680-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTERA HEALTH NORTH CAROLINA 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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Montalvo
• Robert William Monteiro, MD
• Charles Walton Monteith Jr., M.D.
• Angelica Montello
• Maya S Montemurro, LCSWA
• Tiffany Montford-Raynor, MSW, LCSW
• Charita Renney Montgomery Bivens, PA-C
• Felicia Green Montgomery, CERTIFIED HAIR LOSS
• Judith Schmidling Montgomery, LCSW
• Caroline Montz

• Behavior Analyst in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Analyst in North Carolina

• 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.