Healthcare Provider Details

I. General information

NPI: 1942165675
Provider Name (Legal Business Name): MEAGAN REES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 CHAPANOKE RD
RALEIGH NC
27603-3400
US

IV. Provider business mailing address

301 PARK AVE
CREEDMOOR NC
27522-9753
US

V. Phone/Fax

Practice location:
  • Phone: 984-352-7403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-497782
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: