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NPI Code Detail

MEDICARE: JAMIE MICHELLE JONES BCBA

MEDICARE: JAMIE MICHELLE 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
1103K00000XBehavior Analyst
2106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1760129886
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE MICHELLE JONES BCBA
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8409 MERRILLVILLE RD
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6109
Country : US
Telephone Number : 219-205-3463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2022
Last Update Date : 10/13/2025

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