MEDICARE: MRS. MEGHAN MCCANN HOLLIGAN 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
1	103K00000X	Behavior Analyst	0133000186	VA

General Provider Information

NPI Number	:	1518101286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGHAN MCCANN HOLLIGAN BCBA

Provider Business Mailing Address
First Line	:	7000 VANCOUVER RD
Second Line	:
City	:	WEST SPRINGFIELD
State	:	VA
Zip	:	22152-3350
Country	:	US
Telephone Number	:	703-864-0017
Fax Number	:	703-940-9105

Provider Business Practice Location Address
First Line	:	7000 VANCOUVER RD
Second Line	:
City	:	WEST SPRINGFIELD
State	:	VA
Zip	:	22152-3350
Country	:	US
Telephone Number	:	703-864-0017
Fax Number	:	703-940-9105

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

Provider Enumeration Date	:	04/26/2009
Last Update Date	:	04/03/2024

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