Provider Demographics
NPI:1992033294
Name:DAILEY, MEGAN DAVIS (MS, BCBA)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:DAVIS
Last Name:DAILEY
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:539 FANNY ANN WAY
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:FL
Mailing Address - Zip Code:32439-7613
Mailing Address - Country:US
Mailing Address - Phone:850-865-7109
Mailing Address - Fax:888-545-1603
Practice Address - Street 1:1846 US HIGHWAY 90 W STE B
Practice Address - Street 2:
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32433-1408
Practice Address - Country:US
Practice Address - Phone:850-951-0031
Practice Address - Fax:888-545-1603
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-08-4312103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst