NPI 1154736148 · live from the CMS NPI Registry
Megan Brooke Agris, M.S., BCBA
Behavior Analyst in Raleigh, NC. National Provider Identifier 1154736148, active.
NPI record
| NPI | 1154736148 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4900 Waters Edge Dr Ste 100, Raleigh, NC 27606 |
| Practice phone | 919-219-6625 |
| Mailing address | 8413 Ashwood Dr, Raleigh, NC 27603 |
| Enumerated | June 27, 2014 |
| Last updated | December 3, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 11415180 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.