Provider Demographics
NPI:1952742561
Name:PIERCE, MAEGEN CHRISTINE (BCBA)
Entity type:Individual
Prefix:
First Name:MAEGEN
Middle Name:CHRISTINE
Last Name:PIERCE
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 1:505 E ROMIE LN STE E
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4031
Mailing Address - Country:US
Mailing Address - Phone:831-238-2575
Mailing Address - Fax:831-465-5830
Practice Address - Street 1:1900 GARDEN RD STE 280
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5374
Practice Address - Country:US
Practice Address - Phone:831-244-0582
Practice Address - Fax:831-465-5830
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-14-9596103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst