Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 0133000683 | VA |
N | 106E00000X | Assistant Behavior Analyst | 0133000683 | VA |
NPI | 1124586714 |
---|---|
Provider Name | Mrs. Meagan Lee Harding |
First Address | Lexington, VA 24450-3453 |
Second Address | Lexington, VA 24450-3453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2019 |
Last Update Date | 04/03/2019 |