Provider Demographics
NPI:1558603282
Name:LEWIS-JONES, MELISSA (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:LEWIS-JONES
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 N MUR LEN RD STE B
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1218
Mailing Address - Country:US
Mailing Address - Phone:913-712-8942
Mailing Address - Fax:913-390-0062
Practice Address - Street 1:527 N MUR LEN RD STE B
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1218
Practice Address - Country:US
Practice Address - Phone:913-712-8942
Practice Address - Fax:913-390-0062
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-13-12918103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst