Provider Demographics
NPI:1710287685
Name:MEREDITH, KAREN S (BCABA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:MEREDITH
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10330 HICKMAN MILLS DR BLDG 2
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-1604
Mailing Address - Country:US
Mailing Address - Phone:816-501-5138
Mailing Address - Fax:816-777-0626
Practice Address - Street 1:10330 HICKMAN MILLS DR BLDG 2
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-1604
Practice Address - Country:US
Practice Address - Phone:816-501-5138
Practice Address - Fax:816-777-0626
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0041219103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst