Provider Demographics
NPI:1528493814
Name:JONES, DELA L
Entity type:Individual
Prefix:
First Name:DELA
Middle Name:L
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 1:3095 E PATRICK LN STE 12
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3480
Mailing Address - Country:US
Mailing Address - Phone:702-483-5919
Mailing Address - Fax:702-483-5546
Practice Address - Street 1:3095 E PATRICK LN STE 12
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3480
Practice Address - Country:US
Practice Address - Phone:702-483-5919
Practice Address - Fax:702-483-5546
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst