Provider Demographics
NPI:1457964991
Name:TOBLER, MEREDITH (BCBA)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:TOBLER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:JAMAIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:810 CAROLINA AVE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-4518
Mailing Address - Country:US
Mailing Address - Phone:512-905-1290
Mailing Address - Fax:
Practice Address - Street 1:111 MACKENAN DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-7903
Practice Address - Country:US
Practice Address - Phone:919-371-2848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty