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NPI Code Detail

MEDICARE: SARA BROOKS JONES

MEDICARE: SARA BROOKS 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
1106S00000XBehavior TechnicianRBT-21-185551MO

General Provider Information

NPI Number : 1245993005
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA BROOKS JONES
Provider Business Mailing Address
First Line : 116 W SHERMAN WAY STE 1
Second Line :
City : NIXA
State : MO
Zip : 65714-9022
Country : US
Telephone Number : 417-298-0984
Fax Number : 417-374-7185
Provider Business Practice Location Address
First Line : 116 W SHERMAN WAY STE 1
Second Line :
City : NIXA
State : MO
Zip : 65714-9022
Country : US
Telephone Number : 417-298-0984
Fax Number : 417-374-7185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2021
Last Update Date : 10/19/2021

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Directions to “ SARA BROOKS JONES ” Practice Location

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