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NPI Code Detail

MEDICARE: MEAGAN DALKE MA, BCBA

MEDICARE: MEAGAN DALKE MA, BCBA
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 Analyst1-19-39287

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-19-39287OTHERBEHAVIOR ANALYSIS CERTIFICATION BOARD

General Provider Information

NPI Number : 1386049377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN DALKE MA, BCBA
Provider Business Mailing Address
First Line : 5236 SE 115TH PL
Second Line :
City : BELLEVIEW
State : FL
Zip : 34420-3929
Country : US
Telephone Number : 352-286-8561
Fax Number :
Provider Business Practice Location Address
First Line : 3001 W SILVER SPRINGS BLVD BLDG 200
Second Line :
City : OCALA
State : FL
Zip : 34475-5647
Country : US
Telephone Number : 352-358-3700
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2014
Last Update Date : 02/14/2022

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