Megan McGoldrick

Individual provider Active NPI Behavior Analyst · Shalimar, FL

NPI 1710475249 · NPPES record last updated Dec 17, 2023

Key facts

NPI
1710475249
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
15 10TH Ave
Shalimar, FL 32579-1340
Phone
(850) 362-6842
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Expectations Inc. Behavior Analyst Current
since Dec 24, 2023
Accepting new patients
Beyond Expectations Inc. Behavior Analyst Past
since Aug 1, 2021
Accepting new patients

Locations

15 10th Ave
Shalimar, FL 32579
Phone (850) 362-6842

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

15 10TH Ave
Shalimar, FL 32579-1340

Mailing address

103 Lewis St
Fort Walton Beach, FL 32547-3142

Other providers in Shalimar, FL

All providers in Shalimar, FL · Behavior Analyst in Florida

Sources for this page

Verify at the official NPI Registry.