Provider Demographics
NPI:1013557222
Name:ARROYO-JONES, JAMIE (LBA)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:ARROYO-JONES
Suffix:
Gender:F
Credentials:LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 E MICHELLE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-6037
Mailing Address - Country:US
Mailing Address - Phone:602-393-8574
Mailing Address - Fax:
Practice Address - Street 1:726 E MICHELLE DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-6037
Practice Address - Country:US
Practice Address - Phone:602-393-8574
Practice Address - Fax:602-297-6929
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBEH-000528103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ081730Medicaid
AZ000000000OtherCOMMERCIAL INSURANCE