MEDICARE: MEAGAN ERICKSON 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
1	103K00000X	Behavior Analyst	1-19-37103	CA

General Provider Information

NPI Number	:	1477028124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN ERICKSON BCBA

Provider Business Mailing Address
First Line	:	7101 FOREST HILL AVE STE J
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1553
Country	:	US
Telephone Number	:	980-785-1113
Fax Number	:

Provider Business Practice Location Address
First Line	:	7101 FOREST HILL AVE STE J
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1553
Country	:	US
Telephone Number	:	980-785-1113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2018
Last Update Date	:	01/06/2026

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