MEDICARE: MRS. ERIN SHANKS 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	0133001078	VA

General Provider Information

NPI Number	:	1487160214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN SHANKS JONES BCBA

Provider Business Mailing Address
First Line	:	2733 E 12TH ST STE C2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4672
Country	:	US
Telephone Number	:	248-846-8700
Fax Number	:	248-846-8703

Provider Business Practice Location Address
First Line	:	3540 PUMP RD # 1039
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1115
Country	:	US
Telephone Number	:	248-846-8700
Fax Number	:

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

Provider Enumeration Date	:	12/15/2017
Last Update Date	:	05/28/2025

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