Provider Demographics
NPI:1417247545
Name:JOY, MEGAN ROBINSON (PHD, BCBA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ROBINSON
Last Name:JOY
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 MCDERMOTT DR SPARC - FLOOR 2
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19383-0001
Mailing Address - Country:US
Mailing Address - Phone:267-314-1292
Mailing Address - Fax:
Practice Address - Street 1:1160 MCDERMOTT D SPARC - FLOOR 2
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19383-1755
Practice Address - Country:US
Practice Address - Phone:267-314-1292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018835103TB0200X, 103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPS018835OtherCOMMONWEALTH OF PA PROFESSIONAL AND OCCUPATIONAL AFFAIRS