Provider Demographics
NPI:1174009435
Name:CAMERON, MEGAN (MS, BCBA, COBA, LBA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:CAMERON
Suffix:
Gender:F
Credentials:MS, BCBA, COBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4443 SPRINGFIELD CT
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1594
Mailing Address - Country:US
Mailing Address - Phone:145-306-9396
Mailing Address - Fax:
Practice Address - Street 1:4443 SPRINGFIELD CT
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-5910
Practice Address - Country:US
Practice Address - Phone:614-530-6939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-18-30509103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst