Individual
MRS. MEAGAN MARTYNIAK BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
5225 OLD ORCHARD RD, SUITE 17, SKOKIE, IL 60077-4405
(847) 983-0107
Mailing address
5225 OLD ORCHARD ROAD, SUITE 17, SKOKIE, IL 60077
(847) 983-0107
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12-12240
BEHAVIOR ANALYSIS CERTIFICATION BOARD
PA
Enumeration date
03/20/2013
Last updated
03/20/2013
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