NPI 1396069779 · live from the CMS NPI Registry
Meghan Bonner, BCBA
Behavior Analyst in Cheyenne, WY. National Provider Identifier 1396069779, active.
NPI record
| NPI | 1396069779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3904 Central Ave, Cheyenne, WY 82001 |
| Practice phone | 720-837-2348 |
| Enumerated | March 15, 2010 |
| Last updated | October 10, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-08-4737 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.