Healthcare Provider Details

I. General information

NPI: 1386569226
Provider Name (Legal Business Name): MEGAN A STONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N ORANGE ST
NEW SMYRNA BEACH FL
32168-6733
US

IV. Provider business mailing address

311 N ORANGE ST
NEW SMYRNA BEACH FL
32168-6733
US

V. Phone/Fax

Practice location:
  • Phone: 386-402-4460
  • Fax: 386-957-3637
Mailing address:
  • Phone: 386-402-4460
  • Fax: 386-957-3637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberRBT-26-2836979
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: