Megan Balcom
Individual provider Active NPI Behavior Analyst · Grand Rapids, MI
NPI 1992373674 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1992373674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 120 Stevens St SW
Grand Rapids, MI 49507-1526 - Phone
- (855) 832-6727
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401001492 | MI | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401001492 | MI | |
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
120 Stevens St SW
Grand Rapids, MI 49507-1526
Mailing address
120 Stevens St SW
Grand Rapids, MI 49507-1526
Phone (855) 832-6727
Other providers in Grand Rapids, MI
- Balanced Psychiatric Staffing Services
- Balanced Psychological, PLLC
- Chloe Leeann Balanda
- Thomas Nicholas Balaskas
- Peyton Grace Balavitch
- Nicholas Baldes
- Elizabeth Baldry
- Laura J Baldus
- Baldwin Family Health Care
- Autumn Sophia Baldwin
All providers in Grand Rapids, MI · Behavior Analyst in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.