Provider Demographics
NPI:1629549951
Name:JONES, LATOYA
Entity Type:Individual
Prefix:MS
First Name:LATOYA
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 1:6800 E LAKE MEAD BLVD UNIT 2023
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89156-1130
Mailing Address - Country:US
Mailing Address - Phone:251-508-4139
Mailing Address - Fax:702-608-7752
Practice Address - Street 1:3216 W CHARLESTON BLVD STE C
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1983
Practice Address - Country:US
Practice Address - Phone:702-333-1054
Practice Address - Fax:702-608-7752
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst