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NPI Code Detail

MEDICARE: CASSIE JONES BCBA

MEDICARE: CASSIE 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
1103K00000XBehavior Analyst6441TX

General Provider Information

NPI Number : 1821639816
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIE JONES BCBA
Provider Business Mailing Address
First Line : 8646 GUION RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-3011
Country : US
Telephone Number : 317-334-7331
Fax Number :
Provider Business Practice Location Address
First Line : 2220 H G MOSLEY PKWY
Second Line :
City : LONGVIEW
State : TX
Zip : 75604-3663
Country : US
Telephone Number : 903-353-9247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2019
Last Update Date : 12/06/2023

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Directions to “ CASSIE JONES BCBA” Practice Location

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