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NPI Code Detail

MEDICARE: DIANA JONES

MEDICARE: DIANA JONES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBCABA0-11-4052FL
2103K00000XBehavior AnalystBCABA0-11-4052TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093115008
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA JONES
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number : 281-826-3382
Fax Number : 425-491-7683
Provider Business Practice Location Address
First Line : 201 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5638
Country : US
Telephone Number : 682-400-0305
Fax Number : 682-334-7806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2014
Last Update Date : 12/07/2023

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Directions to “ DIANA JONES ” Practice Location

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