Healthcare Provider Details

I. General information

NPI: 1992639629
Provider Name (Legal Business Name): TIARA L JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 ALUM CREEK DR
COLUMBUS OH
43209-2705
US

IV. Provider business mailing address

1350 ALUM CREEK DR
COLUMBUS OH
43209-2705
US

V. Phone/Fax

Practice location:
  • Phone: 614-262-7520
  • Fax:
Mailing address:
  • Phone: 614-262-7520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-256643
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: