Healthcare Provider Details

I. General information

NPI: 1811582471
Provider Name (Legal Business Name): MEGAN STOKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 W COLORADO AVE
COLORADO SPRINGS CO
80905-1511
US

IV. Provider business mailing address

990 PACIFIC HILLS PT APT E105
COLORADO SPRINGS CO
80906-8430
US

V. Phone/Fax

Practice location:
  • Phone: 719-407-2985
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2841529
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: