Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAC'QUES JAVAUGHN MONTGOMERY BCBA
NPI 1679190649
Behavior Analyst in Tupelo, MS

Active since June 25, 2020
1150 S GREEN ST OFC F, TUPELO, MS 38804(757) 800-9077 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Jun 25, 2020 (2 updates tracked since 2020).

About Jac'ques Javaughn Montgomery Bcba NPPES

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

JAC'QUES JAVAUGHN MONTGOMERY BCBA (NPI 1679190649) is an individual behavior analyst provider in Tupelo, Mississippi, licensed in Mississippi (1-26-2840053) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1679190649
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJAC'QUES JAVAUGHN MONTGOMERYCredential: BCBA
Location Address1150 S GREEN ST OFC FTupelo, MS 38804-4901
Mailing Address395 Clark StPontotoc, MS 38863-8014 · (757) 800-9077
Sole ProprietorYes
Enumeration DateJune 25, 2020
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1679190649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MS · 1-26-2840053
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1150 S GREEN ST OFC F, Tupelo, MS 38804

Other Names 1

Former Name (1)Miss Jac'ques Javaughn Fargo

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 Jac'ques Montgomery's NPI number?

The NPI number for Jac'ques Montgomery is 1679190649. It was assigned to this individual provider in the NPPES registry on June 25, 2020. The provider is also known as Miss Jac'ques Javaughn Fargo.

Where is Jac'ques Montgomery located?

Jac'ques Montgomery practices at 1150 S Green St Ofc F, Tupelo, MS 38804. The listed phone number is (757) 800-9077.

What is Jac'ques Montgomery's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jac'ques Montgomery was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.