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NPI Code Detail

MEDICARE: CATHLEEN JONES

MEDICARE: CATHLEEN 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 Analyst0133000388VA

General Provider Information

NPI Number : 1396157293
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHLEEN JONES
Provider Business Mailing Address
First Line : 1651 OLD MEADOW RD STE 600
Second Line :
City : MC LEAN
State : VA
Zip : 22102-4389
Country : US
Telephone Number : 703-564-1639
Fax Number :
Provider Business Practice Location Address
First Line : 1651 OLD MEADOW RD STE 600
Second Line :
City : MC LEAN
State : VA
Zip : 22102-4389
Country : US
Telephone Number : 703-564-1639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2014
Last Update Date : 05/27/2014

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Directions to “ CATHLEEN JONES ” Practice Location

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