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NPI Code Detail

MEDICARE: MEAGAN EARL

MEDICARE: MEAGAN EARL
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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1871133058
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN EARL
Provider Business Mailing Address
First Line : 130 CORRIDOR RD UNIT 3929
Second Line :
City : PONTE VEDRA BEACH
State : FL
Zip : 32004-7850
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 NORTHSIDE XING STE A
Second Line :
City : MACON
State : GA
Zip : 31210-2377
Country : US
Telephone Number : 877-975-1866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2020
Last Update Date : 06/29/2026

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Directions to “ MEAGAN EARL ” Practice Location

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