Active NPI
Javanni Obando Monge
- Assistant Behavior Analyst
- Clarksville, TN
National Provider Identifier
1619650942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 68
- Practice address
- 130 Alfredo Dr Ste a
Clarksville, TN 37042-2750 - Phone
- (440) 523-1750
- NPI assigned
- Aug 11, 2023
- Last updated
- Sep 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 68 | TN | Primary |
Addresses
Primary practice location
130 Alfredo Dr Ste a
Clarksville, TN 37042-2750
Mailing address
333 Kline CT Unit B
Fort Campbell, KY 42223-3830
Phone (440) 523-1750
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68 | TN | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757203200000",
"number": "1619650942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 KLINE CT UNIT B",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422233830",
"telephone_number": "440-523-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ALFREDO DR STE A",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370422750",
"telephone_number": "440-523-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBANDO MONGE",
"first_name": "JAVANNI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2025-09-07",
"certification_date": "2025-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "TN",
"license": "68",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.