Healthcare Provider Details

I. General information

NPI: 1235774050
Provider Name (Legal Business Name): MEGAN HULL BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2019
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 QUEBEC ST STE 110
DENVER CO
80207-2322
US

IV. Provider business mailing address

227 JEFFERSON AVE
BRISTOL PA
19007-5238
US

V. Phone/Fax

Practice location:
  • Phone: 720-706-3396
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-59201
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: