Provider Demographics
NPI:1972925154
Name:JONES, ELIZABETH MEGHAN (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MEGHAN
Last Name: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 1:2824 NW 162ND ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1237
Mailing Address - Country:US
Mailing Address - Phone:405-630-0900
Mailing Address - Fax:405-285-6109
Practice Address - Street 1:2824 NW 162ND ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1237
Practice Address - Country:US
Practice Address - Phone:405-630-0900
Practice Address - Fax:405-285-6109
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1-13-14376103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst