Individual provider Active NPI

Megan McKibben, LBA

  • Behavior Analyst
  • Chandler, AZ
National Provider Identifier
1124594833
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-001302 Issued in AZ
Practice address
670 N Arizona Ave Ste 1
Chandler, AZ 85225-6742
Phone
(602) 790-8923
Fax
(480) 718-7657
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X BEH-001302 AZ Primary

Addresses

Primary practice location

670 N Arizona Ave Ste 1
Chandler, AZ 85225-6742

Mailing address

670 N Arizona Ave Ste 1
Chandler, AZ 85225-6742
Phone (602) 790-8923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BEH-001302AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Matters, Inc. Behavior Analyst CurrentSince Oct 6, 2024 Accepting new patients
Advance Education, Inc. Behavior Analyst Past Accepting new patients

Locations

670 N Arizona Ave
Ste 1
Chandler, AZ 85225
Phone (480) 786-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1124594833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N ARIZONA AVE STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256742",
            "telephone_number": "602-790-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N ARIZONA AVE STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256742",
            "telephone_number": "602-790-8923",
            "fax_number": "480-718-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBEN",
        "first_name": "MEGAN",
        "credential": "LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-001302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.