Jones, Jennifer

Jones, Jennifer is an individual health care provider with primary practice located at 6196 Lake Gray Blvd Ste 116 , Jacksonville FL 32244-5867. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Jones, Jennifer can be contacted via phone (813) 417-4600.

Contact Information

Primary practice address
6196 Lake Gray Blvd Ste 116 Jacksonville FL 32244-5867
Phone: (813) 417-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-09-5591 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 11831 Florida

Profile Details

NPI number 1215176946
LBN Legal business name Jones, Jennifer
Credentials LMHC, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2009
Last updated Apr 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215176946 NPPES
Florida MEDICAID 013475900

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