Individual
SHANICE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 W BROAD ST, RICHMOND, VA 23230-5103
(804) 988-1150
Mailing address
2920 W BROAD ST, RICHMOND, VA 23230-5103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004506
VA
Other
Enumeration date
03/04/2020
Last updated
08/04/2025
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