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NPI Code Detail

MEDICARE: MEAGHAN ELISABETH VAN KEUREN BCBA

MEDICARE: MEAGHAN ELISABETH VAN KEUREN 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 Analyst1-19-38167TX

General Provider Information

NPI Number : 1659847606
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGHAN ELISABETH VAN KEUREN BCBA
Provider Business Mailing Address
First Line : 1334 OSCEOLA ST
Second Line :
City : DENVER
State : CO
Zip : 80204-1431
Country : US
Telephone Number : 303-621-4094
Fax Number :
Provider Business Practice Location Address
First Line : 1035 EL RANCHO RD
Second Line :
City : EVERGREEN
State : CO
Zip : 80439-8238
Country : US
Telephone Number : 720-295-3790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2018
Last Update Date : 04/05/2023

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