MEDICARE: MEGHAN MARONE

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	1-14-16704	TX

General Provider Information

NPI Number	:	1497163943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN MARONE

Provider Business Mailing Address
First Line	:	133 WIND RIDGE DR
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1439
Country	:	US
Telephone Number	:	585-507-7612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 E PALM VALLEY BLVD
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-4619
Country	:	US
Telephone Number	:	512-733-2800
Fax Number	:

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

Provider Enumeration Date	:	07/29/2014
Last Update Date	:	07/29/2014

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Directions to “ MEGHAN MARONE ” Practice Location

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