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NPI Code Detail

MEDICARE: ALEXUS GWEN JONES

MEDICARE:   ALEXUS GWEN 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 AnalystBACB1447114VA

General Provider Information

NPI Number : 1871435834
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXUS GWEN JONES
Provider Business Mailing Address
First Line : 700 SEMMES AVE APT 205
Second Line :
City : RICHMOND
State : VA
Zip : 23224-2339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5205 COMMONWEALTH CENTRE PKWY
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23112-2623
Country : US
Telephone Number : 804-799-9301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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