MEDICARE: MEGHAN SAINE

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	106S00000X	Behavior Technician	PENDING

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1942766738	OTHER		EMPLOYER NPI

General Provider Information

NPI Number	:	1679120455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN SAINE

Provider Business Mailing Address
First Line	:	5543 EDMONDSON PIKE STE 106
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5808
Country	:	US
Telephone Number	:	479-601-7700
Fax Number	:	615-523-2900

Provider Business Practice Location Address
First Line	:	1011 CALVERT ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-2107
Country	:	US
Telephone Number	:	479-601-7700
Fax Number	:

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

Provider Enumeration Date	:	08/26/2019
Last Update Date	:	08/26/2019

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Directions to “ MEGHAN SAINE ” Practice Location

Language	Start Address	Practice Location

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