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NPI Code Detail

MEDICARE: MEGAN MACKENZIE STONE M.S., BCBA, LBA

MEDICARE: MEGAN MACKENZIE STONE M.S., 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
1103K00000XBehavior Analyst2022023821MO

General Provider Information

NPI Number : 1740775527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MACKENZIE STONE M.S., BCBA, LBA
Provider Business Mailing Address
First Line : 11432 TESSON FERRY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63123-6925
Country : US
Telephone Number : 217-525-8332
Fax Number : 618-692-5204
Provider Business Practice Location Address
First Line : 11432 TESSON FERRY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63123-6925
Country : US
Telephone Number : 217-525-8332
Fax Number : 618-692-5204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2018
Last Update Date : 08/21/2024

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