Active NPI
Abigail Montandon, BCBA
- Behavior Analyst
- Fort Riley, KS
National Provider Identifier
1669850400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11417220
- Practice address
- 21727 Hitching Post Rd
Fort Riley, KS 66442-2684 - Phone
- (801) 836-0919
- NPI assigned
- May 13, 2015
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11417220 | KS | Primary |
Addresses
Primary practice location
21727 Hitching Post Rd
Fort Riley, KS 66442-2684
Mailing address
8109 NW Roberts Rd
Weatherby Lake, MO 64152-4816
Phone (619) 456-1814
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 |
|---|---|---|---|
| 11417220 | KS | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sadowsky Autism Services, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Kansas City, MO
- NPI 1467853127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1669850400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 NW ROBERTS RD",
"city": "WEATHERBY LAKE",
"state": "MO",
"postal_code": "641524816",
"telephone_number": "619-456-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21727 HITCHING POST RD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664422684",
"telephone_number": "801-836-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANDON",
"first_name": "ABIGAIL",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KS",
"license": "11417220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.