Healthcare Provider Details

I. General information

NPI: 1730091950
Provider Name (Legal Business Name): MEGAN SHOOK RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 S CASSINGHAM RD
BEXLEY OH
43209-1806
US

IV. Provider business mailing address

37 S CASSADY AVE
BEXLEY OH
43209-1715
US

V. Phone/Fax

Practice location:
  • Phone: 614-231-7611
  • Fax:
Mailing address:
  • Phone: 614-323-3336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-253692
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: