Provider Demographics
NPI:1821344144
Name:BIGGS, MEREDYTH MARIE (M ED, BCBA)
Entity Type:Individual
Prefix:
First Name:MEREDYTH
Middle Name:MARIE
Last Name:BIGGS
Suffix:
Gender:F
Credentials:M ED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 WILSON BLVD
Mailing Address - Street 2:STE 102-267
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-3397
Mailing Address - Country:US
Mailing Address - Phone:703-338-0421
Mailing Address - Fax:
Practice Address - Street 1:5353 COLUMBIA PIKE
Practice Address - Street 2:#510
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-3135
Practice Address - Country:US
Practice Address - Phone:703-338-0421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
VAPGP-0649332174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist