Provider Demographics
NPI:1215608997
Name:FOSTER, MEGHAN R (LBA)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:R
Last Name:FOSTER
Suffix:
Gender:
Credentials:LBA
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:LABRECQUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 TOLL GATE RD STE 309
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4463
Mailing Address - Country:US
Mailing Address - Phone:401-297-8768
Mailing Address - Fax:
Practice Address - Street 1:215 TOLL GATE RD STE 309
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4463
Practice Address - Country:US
Practice Address - Phone:401-297-8768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILBA00272103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst