Provider Demographics
NPI:1821521303
Name:KRUGER, MEAGAN (BCABA)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:KRUGER
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 1:313 PLAZA DR STE A5
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-6975
Mailing Address - Country:US
Mailing Address - Phone:888-603-7779
Mailing Address - Fax:844-884-4677
Practice Address - Street 1:313 PLAZA DR STE A5
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-6975
Practice Address - Country:US
Practice Address - Phone:888-603-7779
Practice Address - Fax:844-884-4677
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst