1427208834 NPI number — MRS. MEREDITH DUGGER MCMILLAN MS, BCBA

Table of content: MRS. MEREDITH DUGGER MCMILLAN MS, BCBA (NPI 1427208834)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427208834 NPI number — MRS. MEREDITH DUGGER MCMILLAN MS, BCBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCMILLAN
Provider First Name:
MEREDITH
Provider Middle Name:
DUGGER
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, BCBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427208834
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 10827
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TALLAHASSEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32302-2827
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-510-9744
Provider Business Mailing Address Fax Number:
850-521-1973

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2928 WELLINGTON CIR STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32309-6879
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-510-9744
Provider Business Practice Location Address Fax Number:
850-521-1973
Provider Enumeration Date:
09/22/2008

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 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 019606300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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