Individual
AMBER JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
188 W HEBBLE AVE, FAIRBORN, OH 45324-4960
(937) 301-0407
Mailing address
PO BOX 55, WALTON, KY 41094-0055
(937) 301-0407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365305
—
OH
Enumeration date
08/08/2019
Last updated
12/16/2021
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