Individual provider Active NPI

Abigail Montandon, BCBA

  • Behavior Analyst
  • Fort Riley, KS
National Provider Identifier
1669850400
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11417220 Issued in KS
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

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11417220KSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.