Provider Demographics
NPI:1336991199
Name:JONESPURDY, LAUREL A (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:LAUREL
Middle Name:A
Last Name:JONESPURDY
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19970 ST LOUIS RD
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-4921
Mailing Address - Country:US
Mailing Address - Phone:703-576-5700
Mailing Address - Fax:
Practice Address - Street 1:505 WINDY KNOLL DR UNIT 323
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-6614
Practice Address - Country:US
Practice Address - Phone:240-668-4415
Practice Address - Fax:240-673-6322
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty