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Megan Elizabeth Gardner

Behavior Technician in Eureka, CA. Individual provider (NPI-1).

NPI number1336747682
StatusActive
Last updated in NPPESOct 9, 2020

Details

NPI
1336747682
Entity type
Individual (NPI-1)
Name
Megan Elizabeth Gardner
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 9, 2020
Certification date
Oct 9, 2020
Last updated
Oct 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

917 3rd St
Eureka, CA 95501-0513

Phone 855-295-3276

Mailing address

1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380

Phone 818-241-6780

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