Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MAVERICK EDUCATION & BEHAVIORAL SOLUTIONS, LLC
Active
Organization
MAVERICK EDUCATION & BEHAVIORAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MONTGOMERY M.S., B.C.B.A. (CEO/OWNER)
(916) 983-7949
Entity
Organization
Contact information
Practice address
7949 CALIFORNIA AVE STE 14, FAIR OAKS, CA 95628-7156
(916) 863-7949
Mailing address
7949 CALIFORNIA AVE STE 14, FAIR OAKS, CA 95628-7156
(916) 863-7949
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1000030
CA
252Y00000X
Early Intervention Provider Agency
1000030
CA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up