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NPI Code Detail

MEDICARE: DEBRIA JONES

MEDICARE: DEBRIA JONES
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
1106S00000XBehavior TechnicianRBT23-317265IL

General Provider Information

NPI Number : 1558259457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRIA JONES
Provider Business Mailing Address
First Line : 11560 S KEDZIE AVE
Second Line :
City : MERRIONETTE PARK
State : IL
Zip : 60803-4517
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13071 DUNMOOR DR
Second Line :
City : LEMONT
State : IL
Zip : 60439-2741
Country : US
Telephone Number : 708-792-0162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2025
Last Update Date : 06/27/2025

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Directions to “ DEBRIA JONES ” Practice Location

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