Provider Demographics
NPI:1659847606
Name:VAN KEUREN, MEAGHAN ELISABETH (BCBA)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:ELISABETH
Last Name:VAN KEUREN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:MEAGHAN
Other - Middle Name:ELISABETH
Other - Last Name:DUGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1334 OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1431
Mailing Address - Country:US
Mailing Address - Phone:303-621-4094
Mailing Address - Fax:
Practice Address - Street 1:1035 EL RANCHO RD
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-8238
Practice Address - Country:US
Practice Address - Phone:720-295-3790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-19-38167103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst