Provider Demographics
NPI:1972156974
Name:WALKER, MEAGHAN DIANE (BCBA)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:DIANE
Last Name:WALKER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:MEAGHAN
Other - Middle Name:
Other - Last Name:EVERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7160 OLIVET CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:NEW KENT
Mailing Address - State:VA
Mailing Address - Zip Code:23124-2414
Mailing Address - Country:US
Mailing Address - Phone:757-376-7205
Mailing Address - Fax:
Practice Address - Street 1:7423 LEE DAVIS RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-4405
Practice Address - Country:US
Practice Address - Phone:302-334-8264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst