Provider Demographics
NPI:1679037063
Name:TOMKINSON, MEGAN EILLEEN (BCBA,LBS)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:EILLEEN
Last Name:TOMKINSON
Suffix:
Gender:F
Credentials:BCBA,LBS
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:EILLEEN
Other - Last Name:CAROLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1801 ROCKLAND RD STE 302
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3648
Practice Address - Country:US
Practice Address - Phone:302-651-4200
Practice Address - Fax:302-651-4543
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE103K00000X103K00000X
PABH000703103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst