MEDICARE: ZACHARY 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	106S00000X	Behavior Technician		TN

General Provider Information

NPI Number	:	1134075948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY JONES

Provider Business Mailing Address
First Line	:	891 FEDERAL RIDGE RD
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-7030
Country	:	US
Telephone Number	:	901-341-3521
Fax Number	:	901-341-5993

Provider Business Practice Location Address
First Line	:	1176 VICKERY LN STE 100
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-0631
Country	:	US
Telephone Number	:	901-341-3521
Fax Number	:	901-341-5993

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ ZACHARY JONES ” Practice Location

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