MEGAN R PETERSON (NPI# 1669080792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669080792 |
| Entity Type | Individual |
| Full Name | MEGAN R PETERSON |
| Practice Address |
4515 Spruill Ave North Charleston SC 29405-4764 |
| Mailing Address |
1321 Murfreesboro Pike Ste 702 Nashville TN 37217-2679 |
| Practice Telephone | 8433527049 |
| Practice Fax Number | 6155775654 |
| Mailing Telephone | 8443597629 |
| Mailing Fax Number | 6155775654 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881030765 | Megan May Peterson | Registered Nurse | 3300 Chambers Rd Ste 5238, Horseheads, NY 14845-1420 | 2013-05-17 |
| 1790385607 | Megan Elyse Peterson | Occupational Therapist | 2004 Hayes St Ste 545, Nashville, TN 37203-2655 | 2020-10-29 |
| 1801438072 | Megan Alissa Peterson | Physician Assistant | 615 S Dekalb St, Shelby, NC 28150-6184 | 2019-10-09 |
| 1154987436 | Megan Peterson | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2019-05-13 |
| 1740772003 | Megan Leigh Peterson | Speech-Language Pathologist | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2018-06-03 |
| 1346731031 | Megan Rose Peterson | Family Medicine | 840 E University Ave, Des Moines, IA 50316-2304 | 2018-05-29 |
| 1467989293 | Megan A Peterson | Massage Therapist | 1153 E 3900 S, Millcreek, UT 84124-1201 | 2017-05-11 |
| 1598211195 | Megan Anne Peterson | Speech-Language Pathologist | 600 Highland Ave, Mail Stop 2424, Madison, WI 53792-2424 | 2016-09-01 |
| 1649679523 | Megan Peterson | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5450 | 2014-08-17 |
| 1487096533 | Megan Paige Peterson | Speech-Language Pathologist | 222 W Thomas Rd Ste 401, Phoenix, AZ 85013-4423 | 2013-07-17 |
| Street Address |
4515 SPRUILL AVE |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-4764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205989142 | Amy Kathleen Cooper | Dentist | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2007-01-22 |
| 1750981031 | Christina M Allen | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-10-27 |
| 1164021291 | Sierra L Mansfield | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-10-20 |
| 1972112126 | Caroline E Border | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-07-23 |
| 1952927568 | Tamarra L Goodwin | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-06-19 |
| 1841816410 | Allison M Pennington | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-06-19 |
| 1720600828 | Daniela Delgado | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-05-12 |
| 1740802842 | Courtney M Mathews | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-05-12 |
| 1982225314 | Cierra Washington | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-04-27 |
| 1154807279 | Caroline Schuler Jones | Behavioral Analyst | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263836 | Lyndsay Morgan Hall | Behavior Technician | 4993 Ohear Ave Apt 5107, North Charleston, SC 29405-5026 | 2020-07-30 |
| 1750981031 | Christina M Allen | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-10-27 |
| 1164021291 | Sierra L Mansfield | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-10-20 |
| 1972112324 | Octavia Vadan | Behavior Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2020-07-30 |
| 1972112126 | Caroline E Border | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-07-23 |
| 1952927568 | Tamarra L Goodwin | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-06-19 |
| 1841816410 | Allison M Pennington | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-06-19 |
| 1710503396 | Tatiana A Schmitt | Behavior Technician | 8620 Refuge Point Cir, North Charleston, SC 29420-6879 | 2020-06-19 |
| 1720600828 | Daniela Delgado | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-05-12 |
| 1740802842 | Courtney M Mathews | Behavior Technician | 4515 Spruill Ave, North Charleston, SC 29405-4764 | 2020-05-12 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.