Mariah Shelby Montague, BS, RBT, QMHP-T

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-184521 Issued in VA

Practice address

1750 Shady Tree CT
Henrico, VA 23238-3442

Phone

(804) 382-0806

NPI assigned

Sep 14, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1629748512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 SHADY TREE CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383442",
            "telephone_number": "804-382-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SHADY TREE CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383442",
            "telephone_number": "804-382-0806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 W Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232204811",
            "country_code": "US",
            "telephone_number": "804-476-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "MARIAH",
        "middle_name": "SHELBY",
        "credential": "BS, RBT, QMHP-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-21-184521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manal Moharram, M.D.
• Martin Moke
• Anajulia Vitoria Molina, PA-C
• Antoinette Monroe
• Jenifer Monroe
• Melissa Montanez
• Jennifer Montano
• Debra Farney Moody, RPH
• Tomeika Moody
• David Moon, PA-C

• Behavior Technician in Henrico, VA
• Providers in Henrico, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.