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General NPI Number Information
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NPI Number | 1023641826
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Entity Type | Individual
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Provider Name | MEGAN BISHOP DRIVER BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/20/2020
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 3900 LEGACY PARK BLVD NW STE A100
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City | KENNESAW
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State | GA
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Zip | 30144-7322
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Country | US
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Telephone | 678-824-2145
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Fax | 404-937-2983
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Provider Business Mailing Address
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Address Line | 1602 MOUNT OLIVE CHURCH RD SE
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City | FAIRMOUNT
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State | GA
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Zip | 30139-2126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-40844
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License Number State | GA
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