Healthcare Provider Details

I. General information

NPI: 1598366700
Provider Name (Legal Business Name): MEGHAN MAHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E ELLSWORTH AVE APT 2
DENVER CO
80209-2129
US

IV. Provider business mailing address

400 HORSHAM RD STE 107
HORSHAM PA
19044-2146
US

V. Phone/Fax

Practice location:
  • Phone: 267-802-1701
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH008405
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: