1437574498 NPI number — DR. MEGAN E VOSTERS PHD, BCBA-D

Table of content: DR. MEGAN E VOSTERS PHD, BCBA-D (NPI 1437574498)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437574498 NPI number — DR. MEGAN E VOSTERS PHD, BCBA-D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VOSTERS
Provider First Name:
MEGAN
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD, BCBA-D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHILTZ
Provider Other First Name:
MEGAN
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437574498
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/31/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 639561
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45263-9561
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-247-7222
Provider Business Mailing Address Fax Number:
215-489-8766

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85 REVERE DR STE AA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHBROOK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60062-8001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
844-247-7222
Provider Business Practice Location Address Fax Number:
215-489-8766
Provider Enumeration Date:
02/27/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  1-13-14885 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103K00000X , with the licence number: 77140 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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