Provider Demographics
NPI:1316642317
Name:BOYLE, MEGHAN (BCBA)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:BOYLE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8625 ASPEN CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7074
Mailing Address - Country:US
Mailing Address - Phone:402-401-4389
Mailing Address - Fax:877-810-2137
Practice Address - Street 1:2513 MCCAIN BLVD STE 2
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7600
Practice Address - Country:US
Practice Address - Phone:402-401-4389
Practice Address - Fax:877-810-2137
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst