Provider Demographics
NPI:1295506608
Name:DILLON, MEGHAN (LPC-TEMPORARY, RBT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:DILLON
Suffix:
Gender:F
Credentials:LPC-TEMPORARY, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10555 MARTY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2555
Mailing Address - Country:US
Mailing Address - Phone:913-649-8820
Mailing Address - Fax:913-649-8823
Practice Address - Street 1:10555 MARTY ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2555
Practice Address - Country:US
Practice Address - Phone:913-649-8820
Practice Address - Fax:913-649-8823
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSRBT-21-170839106S00000X
KS05146-T101YP2500X
KS171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional