Active NPI
Megan McKibben, LBA
- Behavior Analyst
- Chandler, AZ
National Provider Identifier
1124594833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001302
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001302 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Matters, Inc. | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Sacramento, CA
- NPI 1578856977
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.