Provider Demographics
NPI:1255155610
Name:AITCH-JONES, KATOSHA LAFAYE
Entity type:Individual
Prefix:
First Name:KATOSHA
Middle Name:LAFAYE
Last Name:AITCH-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 1:273 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-4688
Mailing Address - Country:US
Mailing Address - Phone:864-219-1058
Mailing Address - Fax:
Practice Address - Street 1:273 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-4688
Practice Address - Country:US
Practice Address - Phone:864-219-1058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst