Provider Demographics
NPI:1265096481
Name:JONES, JESSICA C (BCBA)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:C
Last Name:JONES
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:CHANELLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LBA, IBA
Mailing Address - Street 1:2414 BLACK PINE CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-2043
Mailing Address - Country:US
Mailing Address - Phone:314-570-2098
Mailing Address - Fax:
Practice Address - Street 1:7 CASTLEWOOD CT
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-2408
Practice Address - Country:US
Practice Address - Phone:636-252-4612
Practice Address - Fax:636-277-1345
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018041310103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201804310OtherBEHAVIOR ANALYST ADVISORY BOARD
136944511OtherINTERNATIONAL BEHAVIOR ANALYST ORGANIZATION
1-19-36962OtherBEHAVIOR ANALYST CERTIFICATION BOARD