Puddy, Megan Marie

Puddy, Megan Marie is an individual health care provider with primary practice located at 1210 Fourier Dr Suite #100, Madison WI 53717-1969. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Puddy, Megan Marie can be contacted via phone (608) 662-9327.

Contact Information

Primary practice address
1210 Fourier Dr Suite #100 Madison WI 53717-1969
Phone: (608) 662-9327
Fax: (608) 662-9041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 79-140 Wisconsin

Profile Details

NPI number 1578987822
LBN Legal business name Puddy, Megan Marie
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2014
Last updated Feb 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578987822 NPPES
Wisconsin Other 79-140 STATE OF WI

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