MEDICARE: MISS JOSCELYN MARIE JONES BCBA

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	1-21-48954	CA

General Provider Information

NPI Number	:	1144719113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JOSCELYN MARIE JONES BCBA

Provider Business Mailing Address
First Line	:	930 S MOUNT VERNON AVE
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-3928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 S MOUNT VERNON AVE
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-3928
Country	:	US
Telephone Number	:	909-660-0097
Fax Number	:

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

Provider Enumeration Date	:	05/05/2018
Last Update Date	:	02/18/2026

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