NPI 1164147484 · live from the CMS NPI Registry
Alexis Montgomery
Behavior Analyst in Columbia, MD. National Provider Identifier 1164147484, active.
NPI record
| NPI | 1164147484 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6700 Alexander Bell Dr Ste 200, Columbia, MD 21046 |
| Practice phone | 302-723-2294 |
| Mailing address | 4798 Cedar Neck Rd, Milford, DE 19963 |
| Enumerated | October 10, 2022 |
| Last updated | June 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | LBA2064 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.