Provider Demographics
NPI:1992235857
Name:MEERS, KAREN ANN (BCBA-D)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:MEERS
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SPRING RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-3084
Mailing Address - Country:US
Mailing Address - Phone:203-300-2724
Mailing Address - Fax:
Practice Address - Street 1:29 NORTH PLAINS HIGHWAY
Practice Address - Street 2:UNIT 15
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492
Practice Address - Country:US
Practice Address - Phone:203-774-5910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1-09-6441103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst