Healthcare Provider Details

I. General information

NPI: 1902533656
Provider Name (Legal Business Name): MEGAN ELIZABETH WHITE BCBA 1-25-78793
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 N PIN OAK LN
MUNCIE IN
47304-3174
US

IV. Provider business mailing address

2125 W SURREY DR
MUNCIE IN
47304-1446
US

V. Phone/Fax

Practice location:
  • Phone: 765-283-8086
  • Fax:
Mailing address:
  • Phone: 765-283-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-22-13854
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-78793
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: