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NPI Code Detail

MEDICARE: MRS. MEGAN MARIA ALGARNAWI M.A., B.C.B.A.

MEDICARE: MRS. MEGAN MARIA ALGARNAWI M.A., B.C.B.A.
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 Analyst11415857CA

General Provider Information

NPI Number : 1265852958
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN MARIA ALGARNAWI M.A., B.C.B.A.
Provider Business Mailing Address
First Line : 2555 3RD ST
Second Line : SUITE 108
City : SACRAMENTO
State : CA
Zip : 95818-1100
Country : US
Telephone Number : 916-730-3305
Fax Number : 916-443-2479
Provider Business Practice Location Address
First Line : 2555 3RD ST
Second Line : SUITE 108
City : SACRAMENTO
State : CA
Zip : 95818-1100
Country : US
Telephone Number : 916-730-3305
Fax Number : 916-443-2479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2014
Last Update Date : 04/21/2014

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