Healthcare Provider Details

I. General information

NPI: 1114830593
Provider Name (Legal Business Name): MEGAN N STRAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 OBTUSE HILL RD
BROOKFIELD CT
06804-3024
US

IV. Provider business mailing address

3 ASHWOOD LN
BROOKFIELD CT
06804-3239
US

V. Phone/Fax

Practice location:
  • Phone: 203-501-9131
  • Fax: 203-702-4230
Mailing address:
  • Phone: 203-501-9131
  • Fax: 203-702-4230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number988
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: