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General NPI Number Information
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NPI Number | 1639672611
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Entity Type | Individual
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Provider Name | MARY CATHERINE TAYLOR JONES ED.S, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 03/15/2018
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Last Update Date | 05/04/2018
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Provider Practice Location Address
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Address Line | 111 BULIFANTS BLVD STE B
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-5711
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Country | US
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Telephone | 757-645-3860
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Fax | 757-645-3873
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Provider Business Mailing Address
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Address Line | PO BOX 553
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City | CALLAO
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State | VA
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Zip | 22435-0553
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Country | US
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Telephone | 804-761-9164
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-17-27918
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License Number State | VA
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