Individual
CHRISTINA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
944 FIELDS DR STE 102, BOWLING GREEN, KY 42104-5341
(270) 495-1312
Mailing address
944 FIELDS DR STE 102, BOWLING GREEN, KY 42104-5341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104146109
—
KY
Enumeration date
08/21/2019
Last updated
08/21/2019
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