Provider Demographics
NPI:1467025882
Name:BARTLETT, MEGAN LYNN (RBT)
Entity Type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:LYNN
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 FAIRVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MONTOURSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17754-9462
Mailing Address - Country:US
Mailing Address - Phone:570-279-8090
Mailing Address - Fax:
Practice Address - Street 1:105 FAIRVIEW CT
Practice Address - Street 2:
Practice Address - City:MONTOURSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17754-9462
Practice Address - Country:US
Practice Address - Phone:570-279-8099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician