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General NPI Number Information
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NPI Number | 1720520133
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Entity Type | Individual
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Provider Name | MEGHAN HERRON MS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 2121 S TOWNE CENTRE PL SUITE 370
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City | ANAHEIM
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State | CA
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Zip | 92806-6122
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Country | US
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Telephone | 714-697-6298
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Fax |
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Provider Business Mailing Address
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Address Line | 6002 SHIELDS DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-4245
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Country | US
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Telephone | 714-797-7207
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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 | 1-13-13786
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License Number State | CA
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