Provider Demographics
NPI:1972933562
Name:MEGAN A. DARE, LLC
Entity Type:Organization
Organization Name:MEGAN A. DARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DARE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:512-673-9396
Mailing Address - Street 1:301 W EMMA ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-1505
Mailing Address - Country:US
Mailing Address - Phone:512-673-9396
Mailing Address - Fax:
Practice Address - Street 1:301 W EMMA ST UNIT B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-1505
Practice Address - Country:US
Practice Address - Phone:512-673-9396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-10-6807103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty