Provider Demographics
NPI:1518309210
Name:JONES, LISA LEE (BCBA)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2537 E IVANHOE CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-9022
Mailing Address - Country:US
Mailing Address - Phone:480-584-9968
Mailing Address - Fax:
Practice Address - Street 1:2537 E IVANHOE CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-9022
Practice Address - Country:US
Practice Address - Phone:480-584-9968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst