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NPI Code Detail

MEDICARE: MS. STEPHANIE JEAN JONES

MEDICARE:  MS. STEPHANIE JEAN 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 Analyst1-12-10482PA
2103K00000XBehavior Analyst
3103K00000XBehavior AnalystBH004337PA

General Provider Information

NPI Number : 1265758676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE JEAN JONES
Provider Business Mailing Address
First Line : 448 PATLA RD
Second Line :
City : SWEET VALLEY
State : PA
Zip : 18656-2218
Country : US
Telephone Number : 570-550-0778
Fax Number :
Provider Business Practice Location Address
First Line : 448 PATLA RD
Second Line :
City : SWEET VALLEY
State : PA
Zip : 18656-2218
Country : US
Telephone Number : 570-550-0778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2010
Last Update Date : 05/29/2019

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Directions to “ MS. STEPHANIE JEAN JONES ” Practice Location

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