Provider Demographics
NPI:1376199380
Name:JONES, JESSICA M (RBT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1202 E 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-5112
Mailing Address - Country:US
Mailing Address - Phone:352-408-8838
Mailing Address - Fax:352-408-8838
Practice Address - Street 1:121 N HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-5764
Practice Address - Country:US
Practice Address - Phone:352-720-5194
Practice Address - Fax:407-386-7133
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician