Provider Demographics
NPI:1831902600
Name:JONES, DEMETRIA SANDRA (JM)
Entity type:Individual
Prefix:MISS
First Name:DEMETRIA
Middle Name:SANDRA
Last Name:JONES
Suffix:
Gender:F
Credentials:JM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 E LABURNUM AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-2134
Mailing Address - Country:US
Mailing Address - Phone:434-604-8235
Mailing Address - Fax:
Practice Address - Street 1:405 E LABURNUM AVE STE 3
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-2134
Practice Address - Country:US
Practice Address - Phone:434-604-8235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies