Provider Demographics
NPI:1679017545
Name:YARNALL, MEGAN TAYLOR (MA, LPC, BCBA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:TAYLOR
Last Name:YARNALL
Suffix:
Gender:F
Credentials:MA, LPC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1839 YORK ST STE 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1222
Mailing Address - Country:US
Mailing Address - Phone:720-507-1436
Mailing Address - Fax:
Practice Address - Street 1:1839 YORK ST STE 2
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1222
Practice Address - Country:US
Practice Address - Phone:720-507-1436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-13
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015594101YP2500X
CO1-17-26409103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-17-26409OtherBEHAVIOR ANALYST CERTIFICATION BOARD
COLPC.0015594OtherDEPARTMENT OF REGULATORY AGENCIES