Organization
JONES BEHAVIORAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANI JONES PSYD, HSPP (OWNER / CLINICAL PSYCHOLOGIST)
(317) 934-0002
Entity
Organization
Contact information
Practice address
412 S MAPLE ST STE 100C, FORTVILLE, IN 46040-1681
(317) 934-0002
Mailing address
412 S MAPLE ST STE 100C, FORTVILLE, IN 46040-1681
(317) 934-0002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12688594
INDIVIDUAL CAQH
—
Enumeration date
12/04/2021
Last updated
12/04/2021
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