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NPI Code Detail

MEDICARE: MEGAN JAMES BCBA

MEDICARE: MEGAN JAMES 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
2103K00000XBehavior AnalystIL

General Provider Information

NPI Number : 1639407661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN JAMES BCBA
Provider Business Mailing Address
First Line : 2248 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-5258
Country : US
Telephone Number : 312-842-4498
Fax Number :
Provider Business Practice Location Address
First Line : 2248 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-5258
Country : US
Telephone Number : 312-842-4498
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2009
Last Update Date : 10/06/2014

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