MEDICARE: MEGAN FOSTER

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		OH

General Provider Information

NPI Number	:	1861808347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN FOSTER

Provider Business Mailing Address
First Line	:	6549 PARK NORTH DR
Second Line	:	APT. B10
City	:	SOLON
State	:	OH
Zip	:	44139-4272
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6549 PARK NORTH DR
Second Line	:	APT. B10
City	:	SOLON
State	:	OH
Zip	:	44139-4272
Country	:	US
Telephone Number	:	440-570-7988
Fax Number	:

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

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

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Directions to “ MEGAN FOSTER ” Practice Location

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