MEDICARE: DR. CHERYL YVETTE JONES LSW,LBSC,LADC,MAC

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	BH002499	PA

General Provider Information

NPI Number	:	1871987412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL YVETTE JONES LSW,LBSC,LADC,MAC

Provider Business Mailing Address
First Line	:	217 MAYPOLE RD
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-4105
Country	:	US
Telephone Number	:	267-588-3273
Fax Number	:	484-466-2757

Provider Business Practice Location Address
First Line	:	217 MAYPOLE RD
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-4105
Country	:	US
Telephone Number	:	267-588-3273
Fax Number	:	484-466-2757

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

Provider Enumeration Date	:	03/20/2015
Last Update Date	:	03/11/2026

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