Individual
ALEXIS MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046-2105
(302) 723-2294
Mailing address
4798 CEDAR NECK RD, MILFORD, DE 19963-4339
(302) 723-2294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA2064
MD
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
06/10/2026
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