Provider Demographics
NPI:1356884209
Name:RIVERA, MEAGHAN (BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:MEAGHAN
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 WHIPOORWILL WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-2563
Mailing Address - Country:US
Mailing Address - Phone:301-792-2092
Mailing Address - Fax:
Practice Address - Street 1:92 WHIPOORWILL WAY
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:VA
Practice Address - Zip Code:23093-2563
Practice Address - Country:US
Practice Address - Phone:301-792-2092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-27
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst