Provider Demographics
NPI:1518101286
Name:HOLLIGAN, MEGHAN MCCANN (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:MCCANN
Last Name:HOLLIGAN
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 1:7000 VANCOUVER RD
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-3350
Mailing Address - Country:US
Mailing Address - Phone:703-864-0017
Mailing Address - Fax:703-940-9105
Practice Address - Street 1:7000 VANCOUVER RD
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-3350
Practice Address - Country:US
Practice Address - Phone:703-864-0017
Practice Address - Fax:703-940-9105
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-26
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000186103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst