Basic Information
Provider Information
NPI: 1740627728
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COX
FirstName: BETH-ANN
MiddleName: JOYNER
NamePrefix: MS.
NameSuffix:  
Credential: M.ED., BCBA, LBA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3713 NE 160TH ST.
Address2:  
City: RIDGEFIELD
State: WA
PostalCode: 986424976
CountryCode: US
TelephoneNumber: 2487673306
FaxNumber: 8184490994
Practice Location
Address1: 41521 W 11 MILE RD
Address2:  
City: NOVI
State: MI
PostalCode: 483751803
CountryCode: US
TelephoneNumber: 2487673306
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/30/2013
LastUpdateDate: 03/30/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000X  Y Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


Home