Individual
MEGAN AUSTIN KORSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL HEALTH
Contact information
Practice address
ONE WORLD TRADE CENTER, 121 SOUTHWEST SALMON STREET, 11TH FLOOR, PORTLAND, OR 97204-0000
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10212613
OR
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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