Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellianne M Montgomery

Individual provider Behavior Analyst · NPI 1366716763

Kellianne M Montgomery is a Behavior Analyst in Jacksonville, Florida. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

6331 Roosevelt Blvd Ste 7
Jacksonville, FL 32244-3308
Phone: (904) 538-0713
Fax: (904) 538-0714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-12-1007

Record details

NPI number1366716763
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2012
Last updated in NPPESMarch 2, 2012
Mailing address10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755

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