Individual
MS. MARY KATHRYN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IS, BI
Contact information
Practice address
1440 ELIZABETH CIR APT 3, IDAHO FALLS, ID 83404-5780
(208) 241-2772
Mailing address
1440 ELIZABETH CIR APT 3, IDAHO FALLS, ID 83404-5780
(208) 241-2772
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTPID020701
—
ID
Enumeration date
02/27/2023
Last updated
03/01/2023
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