Provider Demographics
NPI:1326428897
Name:MCGRATH, MEGAN (MS,BCBA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:MS,BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2129
Mailing Address - Country:US
Mailing Address - Phone:607-437-4204
Mailing Address - Fax:
Practice Address - Street 1:116 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2129
Practice Address - Country:US
Practice Address - Phone:607-437-4204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-31
Last Update Date:2015-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000669-1103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst