MEDICARE: ANGELICA 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	8358	TX

General Provider Information

NPI Number	:	1841080017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA JONES BCBA

Provider Business Mailing Address
First Line	:	4460 S FM 1626 STE 300
Second Line	:
City	:	KYLE
State	:	TX
Zip	:	78640-2976
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4460 S FM 1626 STE 300
Second Line	:
City	:	KYLE
State	:	TX
Zip	:	78640-2976
Country	:	US
Telephone Number	:	737-404-3800
Fax Number	:

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

Provider Enumeration Date	:	05/09/2025
Last Update Date	:	05/09/2025

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Directions to “ ANGELICA JONES BCBA” Practice Location

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