Individual provider Active NPI

Meghan Renee Fiocca, MA, BCBA

  • Behavior Analyst
  • Pauline, SC
National Provider Identifier
1689199085
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-48698 Issued in SC
Practice address
224 Thorncrest Dr
Pauline, SC 29374-1626
Phone
(864) 590-0458
NPI assigned
Aug 7, 2017
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-48698 SC Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

224 Thorncrest Dr
Pauline, SC 29374-1626

Mailing address

224 Thorncrest Dr
Pauline, SC 29374-1626
Phone (864) 590-0458

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1689199085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 THORNCREST DR",
            "city": "PAULINE",
            "state": "SC",
            "postal_code": "293741626",
            "telephone_number": "864-590-0458",
            "fax_number": "864-727-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 THORNCREST DR",
            "city": "PAULINE",
            "state": "SC",
            "postal_code": "293741626",
            "telephone_number": "864-590-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIOCCA",
        "first_name": "MEGHAN",
        "middle_name": "RENEE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-21-48698",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauline, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.