Provider Demographics
NPI:1588259931
Name:JONES, TERRE MONIQUE (BCBA)
Entity type:Individual
Prefix:
First Name:TERRE
Middle Name:MONIQUE
Last Name:JONES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8104 WEBB RD APT 1205
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-5103
Mailing Address - Country:US
Mailing Address - Phone:412-880-9339
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:8104 WEBB RD APT 1205
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-5103
Practice Address - Country:US
Practice Address - Phone:412-880-9339
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-23-66671103K00000X
GARBT-21-159032106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst