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NPI Code Detail

MEDICARE: MRS. MEGAN ELIZABETH BALLOR

MEDICARE:  MRS. MEGAN ELIZABETH BALLOR
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 Analyst2022011942MO

General Provider Information

NPI Number : 1366957235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN ELIZABETH BALLOR
Provider Business Mailing Address
First Line : 100 N PACIFIC COAST HWY STE 1400
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-5602
Country : US
Telephone Number : 618-540-1035
Fax Number :
Provider Business Practice Location Address
First Line : 7777 BONHOMME AVE STE 1800
Second Line :
City : CLAYTON
State : MO
Zip : 63105-1931
Country : US
Telephone Number : 310-856-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2017
Last Update Date : 03/25/2025

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Directions to “ MRS. MEGAN ELIZABETH BALLOR ” Practice Location

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