Healthcare Provider Details

I. General information

NPI: 1669386645
Provider Name (Legal Business Name): URRAYAH LEE ASHANTI JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 BEISER BLVD STE 202
DOVER DE
19904-5773
US

IV. Provider business mailing address

2548 WHITE OAK RD
DOVER DE
19901-3332
US

V. Phone/Fax

Practice location:
  • Phone: 484-577-9925
  • Fax:
Mailing address:
  • Phone: 407-205-4067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number1221655
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: