Individual provider Active NPI

Meagan Marie Corr, MS, BCBA, COBA

  • Behavior Analyst
  • Stow, OH
National Provider Identifier
1164019287
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
103K00000X Issued in OH
Practice address
4502 Darrow Rd
Stow, OH 44224-1887
Phone
(330) 603-8534
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 103K00000X OH Primary

Addresses

Primary practice location

4502 Darrow Rd
Stow, OH 44224-1887

Mailing address

7956 Fairmount Rd
Novelty, OH 44072-9735
Phone (216) 313-0738

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
103K00000XOHMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1164019287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 FAIRMOUNT RD",
            "city": "NOVELTY",
            "state": "OH",
            "postal_code": "440729735",
            "telephone_number": "216-313-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241887",
            "telephone_number": "330-603-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORR",
        "first_name": "MEAGAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.