Individual
MEGAN CORBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
8835 NORTHPARK CT, JOHNSTON, IA 50131-3018
(770) 513-2729
Mailing address
6871 JACK LONDON DR, JOHNSTON, IA 50131-4755
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
105801
IA
106S00000X
Behavior Technician
—
—
174400000X
Specialist
—
—
Other
Enumeration date
04/08/2017
Last updated
04/07/2023
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