Healthcare Provider Details

I. General information

NPI: 1992618607
Provider Name (Legal Business Name): MRS. MICHELLE CATHERINE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 S CASSINGHAM RD
BEXLEY OH
43209-1806
US

IV. Provider business mailing address

6799 MCVEY BLVD
COLUMBUS OH
43235-2821
US

V. Phone/Fax

Practice location:
  • Phone: 614-333-8657
  • Fax:
Mailing address:
  • Phone: 614-333-8657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCOBA.01119
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: