Healthcare Provider Details
I. General information
NPI: 1255868048
Provider Name (Legal Business Name): MEAGHAN KUHNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/11/2017
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
848 EXECUTIVE DRIVE
OVIEDO FL
32765
US
IV. Provider business mailing address
848 EXECUTIVE DRIVE
OVIEDO FL
32765
US
V. Phone/Fax
- Phone: 407-678-8889
- Fax:
- Phone: 407-678-8889
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: