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NPI Code Detail

MEDICARE: MEGAN D ROBERTS

MEDICARE: MEGAN D ROBERTS
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 Analyst170495KY

General Provider Information

NPI Number : 1396167334
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN D ROBERTS
Provider Business Mailing Address
First Line : 300 E MOUNT VERNON ST
Second Line :
City : SOMERSET
State : KY
Zip : 42501-1331
Country : US
Telephone Number : 606-307-6336
Fax Number : 606-677-0412
Provider Business Practice Location Address
First Line : 300 E MOUNT VERNON ST
Second Line :
City : SOMERSET
State : KY
Zip : 42501-1331
Country : US
Telephone Number : 606-307-6336
Fax Number : 606-677-0412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2014
Last Update Date : 09/21/2016

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Directions to “ MEGAN D ROBERTS ” Practice Location

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