Individual provider Active NPI

Meagan Holloway, BCBA

  • Behavior Analyst
  • Snohomish, WA
National Provider Identifier
1871976472
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
CG60581951 Issued in WA
Practice address
2621 Bickford Ave Ste C
Snohomish, WA 98290-1736
Phone
(360) 217-8168
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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 CG60581951 WA Primary

Addresses

Primary practice location

2621 Bickford Ave Ste C
Snohomish, WA 98290-1736

Mailing address

7111 55TH PL NE
Marysville, WA 98270-8936
Phone (206) 412-6581

Other practice location 1

3214 W McGraw St
Ste 212
Seattle, WA 98199-3239
Phone (206) 453-4882

Other identifiers 1

IdentifierTypeStateIssuer
106E00000XMedicaidWA

Other names 1

  • Meagan Halligan Former name

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
CG60581951WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Consulting Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1871976472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 55TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982708936",
            "telephone_number": "206-412-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 BICKFORD AVE STE C",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901736",
            "telephone_number": "360-217-8168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3214 W McGraw St",
            "address_2": "Ste 212",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981993239",
            "country_code": "US",
            "telephone_number": "206-453-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "MEAGAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CG60581951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106E00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "HALLIGAN",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.