Active NPI
Jeffrey Monge, RBT
- Behavior Analyst
- West Palm Beach, FL
National Provider Identifier
1699388645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-56669
- Practice address
- 1310 Old Congress Ave Ste 100
West Palm Beach, FL 33409-6314 - Phone
- (561) 328-6044
- NPI assigned
- Aug 28, 2020
- Last updated
- Jun 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-56669 | NU | Primary |
| Behavior Technician | 106S00000X | RBT-19-105318 | CO |
Addresses
Primary practice location
1310 Old Congress Ave Ste 100
West Palm Beach, FL 33409-6314
Mailing address
5524 Azalea Cir
West Palm Beach, FL 33415-4464
Phone (561) 294-2129
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 |
|---|---|---|---|
| RBT-19-105318 | CO | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simplyaba, LLC | Behavior Analyst | Past | Accepting new patients |
| My Favorite Therapists, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Deerfield Beach, FL
- NPI 1992153217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1699388645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5524 AZALEA CIR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334154464",
"telephone_number": "561-294-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 OLD CONGRESS AVE STE 100",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096314",
"telephone_number": "561-328-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGE",
"first_name": "JEFFREY",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-21-56669",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-19-105318",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.