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NPI Code Detail

MEDICARE: MRS. ANGELA DAWN MERANDA B.S., M.A., BCBA

MEDICARE: MRS. ANGELA DAWN MERANDA B.S., M.A., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1306976105
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA DAWN MERANDA B.S., M.A., BCBA
Provider Business Mailing Address
First Line : 346 WARREN ST
Second Line :
City : MADISONVILLE
State : TN
Zip : 37354-1084
Country : US
Telephone Number : 706-223-0485
Fax Number : 706-780-1705
Provider Business Practice Location Address
First Line : 1110 13TH ST STE D
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-2246
Country : US
Telephone Number : 706-223-0485
Fax Number : 706-780-1705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 04/01/2026

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