Provider Demographics
NPI:1063827285
Name:JONES, TAMERA
Entity Type:Individual
Prefix:
First Name:TAMERA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TAMERA
Other - Middle Name:
Other - Last Name:MARCHESCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:69-555 WAIKOLOA BEACH DR
Mailing Address - Street 2:APT 406
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738-5713
Mailing Address - Country:US
Mailing Address - Phone:808-747-1208
Mailing Address - Fax:
Practice Address - Street 1:69-555 WAIKOLOA BEACH DR
Practice Address - Street 2:APT 406
Practice Address - City:WAIKOLOA
Practice Address - State:HI
Practice Address - Zip Code:96738-5713
Practice Address - Country:US
Practice Address - Phone:808-747-1208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst