Meagan Friel Peck, MS, BCBA, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26327 Issued in PA

Practice address

998 Old Eagle School Rd
Wayne, PA 19087-1805

Phone

(267) 279-3680

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

• Miss Meagan Lynne Friel Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2019.

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1508400854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 OLD EAGLE SCHOOL RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 OLD EAGLE SCHOOL RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871805",
            "telephone_number": "267-279-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "MEAGAN",
        "middle_name": "FRIEL",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004417",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-17-26327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://remote.devereux.org/Citrix/XenApp1/site/default.aspx",
            "affiliation": "N",
            "endpointDescription": "online HIPPA protected medical billing program",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "998 Old Eagle School Rd",
            "city": "Wayne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190871805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "FRIEL",
            "middle_name": "LYNNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.