IndividualActive
Mallory Montgomery
NPI 1184292823 · Behavior Technician · Fleming Island, FL
Provider details
- NPI number
- 1184292823
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1831 Golden Eagle Way Ste 34
Fleming Island, FL 32003-4340
Phone: (904) 579-4779
Approximate (ZIP-level) locationGet directions
Mailing address
2377 Market Dr
Fleming Island, FL 32003-4326
Registry dates
- Enumerated
- 2021-06-17
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.