Alexis Montgomery
Behavior Analyst in Bingham Farms, MI. Individual provider (NPI-1).
NPI number1861968752
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1861968752
- Entity type
- Individual (NPI-1)
- Name
- Alexis Montgomery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2018
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 156F00000X | Technician/Technologist | – | – |
Practice location
32100 Telegraph Rd Ste 205Bingham Farms, MI 48025-2454
Phone 248-712-4266
Mailing address
32100 Telegraph Rd Ste 205Bingham Farms, MI 48025-2454
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