Provider Demographics
NPI:1578842670
Name:BROWNING, MEGAN JEAN (BCBA)
Entity Type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:JEAN
Last Name:BROWNING
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:JEAN
Other - Last Name:DOERR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1317 OAKDALE RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-3361
Mailing Address - Country:US
Mailing Address - Phone:209-521-4791
Mailing Address - Fax:209-521-4794
Practice Address - Street 1:1317 OAKDALE RD
Practice Address - Street 2:SUITE 800
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3361
Practice Address - Country:US
Practice Address - Phone:209-521-4791
Practice Address - Fax:209-521-4794
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-15-17978103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst