MEDICARE: JENNIFER JONES LMHC, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-09-5591	FL
2	101YM0800X	Mental Health Counselor	MH 11831	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215176946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER JONES LMHC, BCBA

Provider Business Mailing Address
First Line	:	10014 N DALE MABRY HWY STE C-100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-4426
Country	:	US
Telephone Number	:	813-417-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6196 LAKE GRAY BLVD STE 116
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-5867
Country	:	US
Telephone Number	:	813-417-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2009
Last Update Date	:	04/20/2020

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