Provider Demographics
NPI:1174263628
Name:DAWLABANI, MEGAN LEE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LEE
Last Name:DAWLABANI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4526
Mailing Address - Country:US
Mailing Address - Phone:215-771-1722
Mailing Address - Fax:
Practice Address - Street 1:66 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08648-4526
Practice Address - Country:US
Practice Address - Phone:215-771-1722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst