Provider Demographics
NPI:1952703316
Name:DESHAIS, MEGHAN (MED, BCBA)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:DESHAIS
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 CENTER DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-2026
Mailing Address - Country:US
Mailing Address - Phone:352-273-2184
Mailing Address - Fax:352-392-7985
Practice Address - Street 1:945 CENTER DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-2026
Practice Address - Country:US
Practice Address - Phone:352-273-2184
Practice Address - Fax:352-392-7985
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst