ABA Footprints

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABA FOOTPRINTS

Doing business as

ABA Footprints

Practice address

40352 Blossom Valley LN
Magnolia, TX 77354-4563

Phone

(832) 610-4372

NPI assigned

Mar 5, 2024

Last updated

Jun 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Roxanne Elizabeth Montgomery, M.A.NPI 1487023073

Title

Bcba, Lba

Phone

(832) 610-4372

Specialties & licenses 3

Addresses

Other names 1

• ABA Footprints Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roxanne Montgomery

  • Behavior Analyst
  • Magnolia, TX
  • NPI 1487023073
  NPD Authorized official
• Bryonne Griffin

  • Behavior Technician
  • Magnolia, TX
  • NPI 1285449959
  NPD

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1952168080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40352 BLOSSOM VALLEY LN",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544563",
            "telephone_number": "832-610-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40352 BLOSSOM VALLEY LN",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544563",
            "telephone_number": "832-610-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA FOOTPRINTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BCBA, LBA",
        "authorized_official_telephone_number": "832-610-4372",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA Footprints",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABA Footprints",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breana Lynn Abbott, APRN
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• Community/Behavioral Health Agency in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.