Healthcare Provider Details

I. General information

NPI: 1457136541
Provider Name (Legal Business Name): JANIELLE JONES BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 DALLAS PKWY STE 400
PLANO TX
75093-4381
US

IV. Provider business mailing address

2400 DALLAS PKWY STE 400
PLANO TX
75093-4381
US

V. Phone/Fax

Practice location:
  • Phone: 855-782-7822
  • Fax:
Mailing address:
  • Phone: 855-782-7822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2833212
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number23-286147
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: