Provider Demographics
NPI:1386238822
Name:RONCARATI, MEGAN MICHAELA
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MICHAELA
Last Name:RONCARATI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 STONY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-2453
Mailing Address - Country:US
Mailing Address - Phone:413-284-7080
Mailing Address - Fax:
Practice Address - Street 1:1230 STONY HILL RD
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-2453
Practice Address - Country:US
Practice Address - Phone:413-284-7080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician