MEDICARE: MRS. KATHERINE MEAGAN ST CLAIR BCBA, LBA

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1467024604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE MEAGAN ST CLAIR BCBA, LBA

Provider Business Mailing Address
First Line	:	491 HILLSDALE DR
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-5732
Country	:	US
Telephone Number	:	434-923-8252
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 E LABURNUM AVE STE 3
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-2134
Country	:	US
Telephone Number	:	732-655-3288
Fax Number	:	800-874-0959

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

Provider Enumeration Date	:	07/16/2021
Last Update Date	:	08/25/2025

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