MEDICARE: TERRE MONIQUE JONES 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	1-23-66671
2	106S00000X	Behavior Technician	RBT-21-159032	GA

General Provider Information

NPI Number	:	1588259931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRE MONIQUE JONES BCBA

Provider Business Mailing Address
First Line	:	8104 WEBB RD APT 1205
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-5103
Country	:	US
Telephone Number	:	412-880-9339
Fax Number	:	317-520-8200

Provider Business Practice Location Address
First Line	:	8104 WEBB RD APT 1205
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-5103
Country	:	US
Telephone Number	:	412-880-9339
Fax Number	:	317-520-8200

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

Provider Enumeration Date	:	03/08/2021
Last Update Date	:	07/14/2023

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Directions to “ TERRE MONIQUE JONES BCBA” Practice Location

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