Healthcare Provider Details

I. General information

NPI: 1629733316
Provider Name (Legal Business Name): MEGAN SILVERNAIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 N NOVA RD STE 112
ORMOND BEACH FL
32174-4420
US

IV. Provider business mailing address

533 N NOVA RD STE 112
ORMOND BEACH FL
32174-4420
US

V. Phone/Fax

Practice location:
  • Phone: 386-492-9041
  • Fax:
Mailing address:
  • Phone: 386-492-9041
  • Fax: 386-492-9061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90604
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-190728
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: