Provider Demographics
NPI:1346091535
Name:JONES, TERIECE
Entity Type:Individual
Prefix:
First Name:TERIECE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 FLOUNDER CT E
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4212
Mailing Address - Country:US
Mailing Address - Phone:240-640-0035
Mailing Address - Fax:
Practice Address - Street 1:5506 FLOUNDER CT E
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4212
Practice Address - Country:US
Practice Address - Phone:240-640-0035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician