Provider Demographics
NPI:1497157242
Name:MCDONNELL-MEGAHEY, PATRICIA ANNE (BCBA)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:MCDONNELL-MEGAHEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 PICKEREL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-5043
Mailing Address - Country:US
Mailing Address - Phone:845-597-7711
Mailing Address - Fax:845-774-2262
Practice Address - Street 1:531 STATE ROUTE 32 STE 2
Practice Address - Street 2:
Practice Address - City:HIGHLAND MILLS
Practice Address - State:NY
Practice Address - Zip Code:10930-5135
Practice Address - Country:US
Practice Address - Phone:845-551-6200
Practice Address - Fax:845-774-2262
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000191103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst