Basic Information
| Provider Information | |||||||||
| NPI: | 1245682053 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WARRINGTON | ||||||||
| FirstName: | JOY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | RBT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1015 HARBOURNE ST | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809113568 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7193210946 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1155 KELLY JOHNSON BLVD | ||||||||
| Address2: | 150 | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809203932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037591342 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2016 | ||||||||
| LastUpdateDate: | 07/05/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1510412 | CO | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.