Megan Blakley
Individual provider Active NPI Behavior Analyst · Sparks, NV
NPI 1447084033 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1447084033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- RBT4545 (NV)
- Practice address
- 1625 E Prater Way Ste 107
Sparks, NV 89434-8963 - Phone
- (775) 825-4744
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT4545 | NV | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT4545 | NV | Yes |
Addresses
Primary practice location
1625 E Prater Way Ste 107
Sparks, NV 89434-8963
Mailing address
1625 E Prater Way Ste 107
Sparks, NV 89434-8963
Phone (775) 825-4744
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.