Individual
RUDOLPH JONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
373 S WILLOW ST, MANCHESTER, NH 03103-5751
(877) 315-8080
Mailing address
3303 DRIFTWOOD DR, HAMPTON, VA 23666-3803
(757) 737-8987
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-131810
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462729857
TRICARE
VA
Enumeration date
11/19/2020
Last updated
11/19/2020
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