Provider Demographics
NPI:1811879133
Name:PLANER, MEAGAN JOY
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:JOY
Last Name:PLANER
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 1:3005 WINCHESTER DR APT A
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2816
Mailing Address - Country:US
Mailing Address - Phone:219-281-9266
Mailing Address - Fax:
Practice Address - Street 1:3005 WINCHESTER DR APT A
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2816
Practice Address - Country:US
Practice Address - Phone:219-281-9266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN25-426581103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst