Provider Demographics
NPI:1164019287
Name:CORR, MEAGAN MARIE (MS, BCBA, COBA)
Entity Type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:MARIE
Last Name:CORR
Suffix:
Gender:F
Credentials:MS, BCBA, COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7956 FAIRMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:NOVELTY
Mailing Address - State:OH
Mailing Address - Zip Code:44072-9735
Mailing Address - Country:US
Mailing Address - Phone:216-313-0738
Mailing Address - Fax:
Practice Address - Street 1:4502 DARROW RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1887
Practice Address - Country:US
Practice Address - Phone:330-603-8534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103K00000X103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst