Provider Demographics
NPI:1205326766
Name:JONES, EBONNIE
Entity type:Individual
Prefix:MRS
First Name:EBONNIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:EBONNIE
Other - Middle Name:
Other - Last Name:BILLINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:JONES/BILLINGS
Mailing Address - Street 1:4005 WOODLAND CREEK DR SE APT 102
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49512-8313
Mailing Address - Country:US
Mailing Address - Phone:231-855-6236
Mailing Address - Fax:
Practice Address - Street 1:3300 36TH ST SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49512-2810
Practice Address - Country:US
Practice Address - Phone:616-942-7294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst