Provider Demographics
NPI:1275144495
Name:VOIGHT, COLBY LOVE (BCBA)
Entity Type:Individual
Prefix:MS
First Name:COLBY
Middle Name:LOVE
Last Name:VOIGHT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 BURNS DR
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948-7735
Mailing Address - Country:US
Mailing Address - Phone:252-256-0283
Mailing Address - Fax:
Practice Address - Street 1:528 BURNS DR
Practice Address - Street 2:
Practice Address - City:KILL DEVIL HILLS
Practice Address - State:NC
Practice Address - Zip Code:27948-7735
Practice Address - Country:US
Practice Address - Phone:252-256-0283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1-17-28256103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst