Erin Montgomery, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-1728961 Issued in CO

Practice address

5704 Euper LN
Fort Smith, AR 72903-3238

Phone

(470) 242-4480

NPI assigned

Dec 31, 2014

Sex

Female

Sole proprietor

Yes

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

Master of Science

State licenses

Practice roles

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.

• Alta Vista Center for Autism

  • Early Intervention Provider Agency
  • Lakewood, CO
  • NPI 1619144953

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1972991842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E CORTLAND ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 EUPER LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033238",
            "telephone_number": "470-242-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4575 SE Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349976826",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4575 SE Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349976826",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 S Jersey St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80222",
            "country_code": "US",
            "telephone_number": "303-759-1192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7220 W Jefferson Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "80235",
            "country_code": "US",
            "telephone_number": "972-741-0648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ERIN",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-1728961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mkosmo, LLC
• Ashley R. Moad, MCD, CCC-SLP
• Mobile Fees of Nwa
• Amber Mobley, APRN-CNP
• Brett Monroe
• Jennifer Montgomery, LPC
• Sarah Montgomery, MHPP
• Allison Montiel
• Whitney Mooney, QBHP
• Caitlyn Mooneyham

• Behavior Analyst in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.