Basic Information
| Provider Information | |||||||||
| NPI: | 1659847606 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUGGER | ||||||||
| FirstName: | MEAGHAN | ||||||||
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| Credential: | BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1931 MARKET CENTER BLVD APT 1411 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752073380 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036214094 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14785 PRESTON RD STE 550 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752547899 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8558245669 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2018 | ||||||||
| LastUpdateDate: | 07/15/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-19-38167 | TX | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.