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
1	103K00000X	Behavior Analyst	BCABA0-11-4052	FL
2	103K00000X	Behavior Analyst	BCABA0-11-4052	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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	:	244 DUNLAP AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-3717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	244 DUNLAP AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-3717
Country	:	US
Telephone Number	:	321-344-0302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2014
Last Update Date	:	05/22/2026

Similar Medicare Providers

1114512019 — MS. ANNA MARIE FIORE MA, BCBA
Practice Location Address:

244 DUNLAP AVE SE
PALM BAY, FL
32909-3717

Practice Phone: 321-344-0302
Practice Fax:

1043175631 — AB-YAY, LLC
Practice Location Address:

244 DUNLAP AVE SE
PALM BAY, FL
32909-3717

Practice Phone: 321-344-0302
Practice Fax:

1063826279 — CHARLES RAPOSA
Practice Location Address:

31790 US HIGHWAY 19 N APT 89
PALM HARBOR, FL
34684-3717

Practice Phone: 727-599-9169
Practice Fax:

1326384835 — BRENDA KAY LAKE R.N.
Practice Location Address:

3717 BAY RD
ERIE, MI
48133-9404

Practice Phone: 419-297-4629
Practice Fax: 734-723-4001

1902477102 — MR. JOSEPH GREGORY HENDERSON LCSW
Practice Location Address:

3717 BOUNDARY BAY DR
INDIANAPOLIS, IN
46217-9114

Practice Phone: 317-919-7147
Practice Fax:

1922939537 — ORLITA LALISSIA KELLY
Practice Location Address:

467 DOMINICAN AVE SE
PALM BAY, FL
32909-4028

Practice Phone: 772-480-6715
Practice Fax:

Directions to “ DIANA JONES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.