Healthcare Provider Details

I. General information

NPI: 1265852958
Provider Name (Legal Business Name): MEGAN MARIA ALGARNAWI M.A., B.C.B.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 04/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 3RD ST SUITE 108
SACRAMENTO CA
95818-1100
US

IV. Provider business mailing address

2555 3RD ST SUITE 108
SACRAMENTO CA
95818-1100
US

V. Phone/Fax

Practice location:
  • Phone: 916-730-3305
  • Fax: 916-443-2479
Mailing address:
  • Phone: 916-730-3305
  • Fax: 916-443-2479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number11415857
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: