Provider Demographics
NPI:1316328974
Name:JONES, DENISHIHA MONIQUE
Entity type:Individual
Prefix:
First Name:DENISHIHA
Middle Name:MONIQUE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 SAINT MARKS AVE
Mailing Address - Street 2:APT. 14B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-2220
Mailing Address - Country:US
Mailing Address - Phone:347-623-5069
Mailing Address - Fax:
Practice Address - Street 1:1008 SAINT MARKS AVE
Practice Address - Street 2:APT. 14B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-2220
Practice Address - Country:US
Practice Address - Phone:347-623-5069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst