Montrell Lee Washington

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

501 Rivergate Way Apt 112
Sacramento, CA 95831-3316

Phone

(916) 821-8780

NPI assigned

Aug 4, 2017

Last updated

Aug 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1629593215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 RIVERGATE WAY APT 112",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RIVERGATE WAY APT 112",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313316",
            "telephone_number": "916-821-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MONTRELL",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justina Washington
• Lorenzo N Washington
• Maya Diane Washington, B.A, M.A.
• Melinda Washington, RDN
• Michelle Gregorio Washington
• Natasha Emily Elizabeth Washington
• Odecshia Washington, RADTI
• Omar R Washington
• Pauline Knkim Washington
• Serenay Washington

• Behavior Technician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.