Provider Demographics
NPI:1972902872
Name:LOVEWELL, MEGHAN (BCBA)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:LOVEWELL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7333 E PENNINGTON ST NE
Mailing Address - Street 2:
Mailing Address - City:LANESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47136-8138
Mailing Address - Country:US
Mailing Address - Phone:812-725-6175
Mailing Address - Fax:
Practice Address - Street 1:7333 E PENNINGTON ST NE
Practice Address - Street 2:
Practice Address - City:LANESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47136-8138
Practice Address - Country:US
Practice Address - Phone:812-725-6175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst