Healthcare Provider Details

I. General information

NPI: 1154248367
Provider Name (Legal Business Name): KHARI KEIMANI JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SAINT CHARLES AVE STE 2500
NEW ORLEANS LA
70170-2500
US

IV. Provider business mailing address

140 JACK PINE LN
PONCHATOULA LA
70454-9426
US

V. Phone/Fax

Practice location:
  • Phone: 504-605-8015
  • Fax:
Mailing address:
  • Phone: 504-605-8015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: