Provider Demographics
NPI:1093467474
Name:FLORES, MEGAN L (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:L
Last Name:FLORES
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6766 HICKORY SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2719
Mailing Address - Country:US
Mailing Address - Phone:210-294-0184
Mailing Address - Fax:
Practice Address - Street 1:6711 S NEW BRAUNFELS AVE STE 500
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-3004
Practice Address - Country:US
Practice Address - Phone:210-531-3700
Practice Address - Fax:210-531-3765
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2993103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst