Provider Demographics
NPI:1215503503
Name:HUNZIKER, MEGAN MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:HUNZIKER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:MARIE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:1244 NE 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2319
Mailing Address - Country:US
Mailing Address - Phone:732-890-2928
Mailing Address - Fax:
Practice Address - Street 1:1244 NE 16TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-2319
Practice Address - Country:US
Practice Address - Phone:732-890-2928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty