MONTGOMERY DODGE
NPI 1124914593
Behavior Technician in Clarksville, AR

Active since June 13, 2025
2112 W MAIN ST, CLARKSVILLE, AR 72830(479) 647-3022 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montgomery Dodge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTGOMERY DODGE (NPI 1124914593) is an individual behavior technician in Clarksville, Arkansas and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1124914593
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMONTGOMERY DODGE
Location Address2112 W MAIN STClarksville, AR 72830-3245
Mailing Address3205 W Main StRussellville, AR 72801-2301
Sole ProprietorNo
Enumeration DateJune 13, 2025
NPPES CertifiedJune 13, 2025
NPI 1124914593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
2112 W MAIN ST, Clarksville, AR 72830

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
2112 W MAIN ST
CLARKSVILLE, AR 72830
Behavior Technician
2112 W MAIN ST
CLARKSVILLE, AR 72830
Behavior Technician
2112 W MAIN ST
CLARKSVILLE, AR 72830
Behavior Technician
2112 W MAIN ST
CLARKSVILLE, AR 72830
Behavior Technician
2112 W MAIN ST
CLARKSVILLE, AR 72830
Behavior Technician
2112 W MAIN ST
CLARKSVILLE, AR 72830
Behavior Technician
2112 W MAIN ST
CLARKSVILLE, AR 72830
Behavior Technician
2112 W MAIN ST
CLARKSVILLE, AR 72830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montgomery Dodge's NPI number?

The NPI number for Montgomery Dodge is 1124914593. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Montgomery Dodge located?

Montgomery Dodge practices at 2112 W Main St, Clarksville, AR 72830. The listed phone number is (479) 647-3022.

What is Montgomery Dodge's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Montgomery Dodge was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.