Provider Demographics
NPI:1245646827
Name:MAYO, MEGAN (MA, MS)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MAYO
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 COTTON RD
Mailing Address - Street 2:
Mailing Address - City:LYNDONVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05851-4543
Mailing Address - Country:US
Mailing Address - Phone:802-751-9546
Mailing Address - Fax:
Practice Address - Street 1:242 EASTERN AVE STE 1
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-2644
Practice Address - Country:US
Practice Address - Phone:802-751-9546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0135386390200000X
VT146.0119642103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst