Wellformed AI

NPI 1649703489 · live from the CMS NPI Registry

Megan Corbridge, BCBA, LBA

Behavior Analyst in Johnston, IA. National Provider Identifier 1649703489, active.

NPI record

NPI1649703489 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location8835 Northpark Ct, Johnston, IA 50131
Practice phone770-513-2729
Mailing address6871 Jack London Dr, Johnston, IA 50131
EnumeratedApril 8, 2017
Last updatedApril 7, 2023
Sole proprietorNo
Other namesMegan Blount

Taxonomies and licenses

TaxonomyCodeLicense
Specialist174400000X—
Behavior Analyst primary103K00000X105801 (IA)
Behavior Technician106S00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.