MEDICARE: MEGAN GUNYOU

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	247200000X	Other Technician
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1255862348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN GUNYOU

Provider Business Mailing Address
First Line	:	12729 NORTHUP WAY STE 9
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-1935
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12729 NORTHUP WAY STE 9
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-1935
Country	:	US
Telephone Number	:	866-727-8274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	09/30/2019

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Directions to “ MEGAN GUNYOU ” Practice Location

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