Individual provider Active NPI

Megan Brooke Fallen, BCBA, LBA

  • Behavior Analyst
  • Round Rock, TX
National Provider Identifier
1508433517
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4142 Issued in TX
Practice address
1516 E Palm Valley Blvd Unit C
Round Rock, TX 78664-4619
Phone
(512) 733-2800
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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 4142 TX Primary

Addresses

Primary practice location

1516 E Palm Valley Blvd Unit C
Round Rock, TX 78664-4619

Mailing address

1516 E Palm Valley Blvd Unit C
Round Rock, TX 78664-4619
Phone (512) 733-2800

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
4142TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1508433517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E PALM VALLEY BLVD UNIT C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644619",
            "telephone_number": "512-733-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E PALM VALLEY BLVD UNIT C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644619",
            "telephone_number": "512-733-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLEN",
        "first_name": "MEGAN",
        "middle_name": "BROOKE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.