Healthcare Provider Details

I. General information

NPI: 1689583684
Provider Name (Legal Business Name): GARRETT MCCAIN JONES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 N FM 620 RD
AUSTIN TX
78726-4007
US

IV. Provider business mailing address

8300 N FM 620 RD
AUSTIN TX
78726-4007
US

V. Phone/Fax

Practice location:
  • Phone: 512-612-1091
  • Fax:
Mailing address:
  • Phone: 512-612-1091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: