Provider Demographics
NPI:1386492791
Name:JONES, SANTANNIE N
Entity type:Individual
Prefix:
First Name:SANTANNIE
Middle Name:N
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 1:527 PINE CT
Mailing Address - Street 2:
Mailing Address - City:THOMSON
Mailing Address - State:GA
Mailing Address - Zip Code:30824-1572
Mailing Address - Country:US
Mailing Address - Phone:706-523-0480
Mailing Address - Fax:
Practice Address - Street 1:527 PINE CT
Practice Address - Street 2:
Practice Address - City:THOMSON
Practice Address - State:GA
Practice Address - Zip Code:30824-1572
Practice Address - Country:US
Practice Address - Phone:706-523-0480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst