Provider Demographics
NPI:1366938706
Name:SCHICKLING, MEAGHAN KATHLEEN (MS, RBT)
Entity type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:KATHLEEN
Last Name:SCHICKLING
Suffix:
Gender:F
Credentials:MS, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 RUMPF AVE
Mailing Address - Street 2:
Mailing Address - City:PENNDEL
Mailing Address - State:PA
Mailing Address - Zip Code:19047-5526
Mailing Address - Country:US
Mailing Address - Phone:215-962-4045
Mailing Address - Fax:
Practice Address - Street 1:81 BIG OAK RD STE 204
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7801
Practice Address - Country:US
Practice Address - Phone:484-569-0377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician