Provider Demographics
NPI:1215373345
Name:CASPERSON, MEGHAN (MA, BCBA)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:
Last Name:CASPERSON
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-4051
Mailing Address - Country:US
Mailing Address - Phone:973-610-2094
Mailing Address - Fax:
Practice Address - Street 1:29 HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:NJ
Practice Address - Zip Code:07821-4051
Practice Address - Country:US
Practice Address - Phone:973-610-2094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-11-8175103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst