Provider Demographics
NPI:1699119974
Name:SCHAFER, MEGAN EILEEN (BCBA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:EILEEN
Last Name:SCHAFER
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 1:9016 ASHFORD CASTLE DR APT 513
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-5621
Mailing Address - Country:US
Mailing Address - Phone:317-358-5287
Mailing Address - Fax:
Practice Address - Street 1:9016 ASHFORD CASTLE DR APT 513
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-5621
Practice Address - Country:US
Practice Address - Phone:317-358-5287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-12-11781103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst