Healthcare Provider Details

I. General information

NPI: 1831701341
Provider Name (Legal Business Name): MEGHAN JANE KOWALSKI RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN JANE HENDERSON

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 S HIGH ST
COLUMBUS OH
43215-5602
US

IV. Provider business mailing address

527 S HIGH ST
COLUMBUS OH
43215-5602
US

V. Phone/Fax

Practice location:
  • Phone: 614-227-9444
  • Fax:
Mailing address:
  • Phone: 614-227-9444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-92413
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: