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NPI Code Detail

MEDICARE: MAEGHAN PEREZ

MEDICARE: MAEGHAN PEREZ
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1902762206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAEGHAN PEREZ
Provider Business Mailing Address
First Line : 1200 WINDCHASE DR
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37042-5918
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2965 FORT CAMPBELL BLVD
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37042-7798
Country : US
Telephone Number : 931-271-4850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 01/05/2026

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Directions to “ MAEGHAN PEREZ ” Practice Location

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