Provider Demographics
NPI:1689331837
Name:JONES, SAMANTHA (BCABA)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 CALEDONIA PL
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6661
Mailing Address - Country:US
Mailing Address - Phone:815-990-1818
Mailing Address - Fax:
Practice Address - Street 1:780 CEDAR CROSS RD STE 2
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-7784
Practice Address - Country:US
Practice Address - Phone:563-526-0400
Practice Address - Fax:866-496-4073
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst