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NPI Code Detail

MEDICARE: MRS. MEAGHAN LAURA COLLEEN SHAW GONZALES

MEDICARE:  MRS. MEAGHAN LAURA COLLEEN SHAW GONZALES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBH008126PA

General Provider Information

NPI Number : 1124989751
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEAGHAN LAURA COLLEEN SHAW GONZALES
Provider Business Mailing Address
First Line : 4736 GREENSPRINGS AVE
Second Line :
City : WEST MIFFLIN
State : PA
Zip : 15122-1951
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2090 GREENTREE RD STE 100
Second Line :
City : PITTSBURGH
State : PA
Zip : 15220-1472
Country : US
Telephone Number : 412-213-5333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2025
Last Update Date : 11/21/2025

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Directions to “ MRS. MEAGHAN LAURA COLLEEN SHAW GONZALES ” Practice Location

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