Provider Demographics
NPI:1467918227
Name:WARINER, MAEGAN TAYLER (BCABA)
Entity type:Individual
Prefix:MRS
First Name:MAEGAN
Middle Name:TAYLER
Last Name:WARINER
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:MS
Other - First Name:MAEGAN
Other - Middle Name:TAYLER
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 CAMPBELL DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-5039
Mailing Address - Country:US
Mailing Address - Phone:346-452-1936
Mailing Address - Fax:
Practice Address - Street 1:6 CAMPBELL DR
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:AR
Practice Address - Zip Code:72058-5039
Practice Address - Country:US
Practice Address - Phone:346-452-1936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0-21-12908106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst