Healthcare Provider Details

I. General information

NPI: 1063912418
Provider Name (Legal Business Name): AMEE CHRISTINA JONES BCBA, COBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 PINEHURST RD
MUNROE FALLS OH
44262-1131
US

IV. Provider business mailing address

113 PINEHURST RD
MUNROE FALLS OH
44262-1131
US

V. Phone/Fax

Practice location:
  • Phone: 253-219-4278
  • Fax:
Mailing address:
  • Phone: 253-219-4278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCOBA.00918
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-17-46077
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: