Provider Demographics
NPI:1326620881
Name:CHAVERS-MCQUEARY, JOY KAYLIN (MED, BCBA)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:KAYLIN
Last Name:CHAVERS-MCQUEARY
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7675 KALEB GRV APT 1517
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3282
Mailing Address - Country:US
Mailing Address - Phone:719-663-6824
Mailing Address - Fax:
Practice Address - Street 1:2020 N ACADEMY BLVD STE 278
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1568
Practice Address - Country:US
Practice Address - Phone:719-302-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-24
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COBACB589770103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst