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NPI Code Detail

MEDICARE: DEVAN THORNS-JONES

MEDICARE: DEVAN THORNS-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 Technician
2374U00000XHome Health Aide

General Provider Information

NPI Number : 1396307740
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVAN THORNS-JONES
Provider Business Mailing Address
First Line : 3052 BALCONES FAULT AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-6409
Country : US
Telephone Number : 702-325-4243
Fax Number :
Provider Business Practice Location Address
First Line : 3052 BALCONES FAULT AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-6409
Country : US
Telephone Number : 702-325-4243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2019
Last Update Date : 06/22/2022

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Directions to “ DEVAN THORNS-JONES ” Practice Location

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