Healthcare Provider Details

I. General information

NPI: 1972425486
Provider Name (Legal Business Name): KRISTY LYNN JONES BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 W LEMON ST
TAMPA FL
33609-1103
US

IV. Provider business mailing address

103 W PLYMOUTH ST
TAMPA FL
33603-5751
US

V. Phone/Fax

Practice location:
  • Phone: 813-475-4665
  • Fax:
Mailing address:
  • Phone: 813-365-8964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-39332
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: