Individual provider · NPI-1

Megan Brooke Agris, M.S., BCBA

Behavior Analyst · Raleigh, NC

NPI number1154736148
StatusActive
Last updated in NPPESDec 3, 2021

Details

NPI
1154736148
Entity type
Individual (NPI-1)
Name
Mrs. Megan Brooke Agris
Credential
M.S., BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 27, 2014
Certification date
Dec 3, 2021
Last updated
Dec 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst11415180NCYes

Practice location

4900 Waters Edge Dr Ste 100
Raleigh, NC 27606-5662

Phone 919-219-6625

Mailing address

8413 Ashwood Dr
Raleigh, NC 27603-9310

Phone 919-219-6255

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