Provider Demographics
NPI:1619049178
Name:MCCOY, JOSLYN MASON (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:JOSLYN
Middle Name:MASON
Last Name:MCCOY
Suffix:
Gender:F
Credentials:PHD, BCBA-D
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Other - First Name:
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Mailing Address - Street 1:4400A AMBASSADOR CAFFERY PKWY # 300
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6706
Mailing Address - Country:US
Mailing Address - Phone:337-962-1785
Mailing Address - Fax:337-385-2350
Practice Address - Street 1:132 DEMANADE BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503
Practice Address - Country:US
Practice Address - Phone:337-534-8679
Practice Address - Fax:337-534-0027
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA1019103TC0700X
LAL-022103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst