Provider Demographics
NPI:1467981506
Name:COX, JONI SUE (SPED TEACHER)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:SUE
Last Name:COX
Suffix:
Gender:F
Credentials:SPED TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1863 NORTHSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1568
Mailing Address - Country:US
Mailing Address - Phone:740-503-9269
Mailing Address - Fax:
Practice Address - Street 1:6975 W IRMA LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-9477
Practice Address - Country:US
Practice Address - Phone:740-503-9269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4576680174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist