Provider Demographics
NPI:1588325583
Name:MCLEOD, JONI MARIE (MED, BCBA)
Entity type:Individual
Prefix:MISS
First Name:JONI
Middle Name:MARIE
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 GAMAY PL
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-3225
Mailing Address - Country:US
Mailing Address - Phone:707-391-8280
Mailing Address - Fax:
Practice Address - Street 1:172 WASHINGTON AVE STE B
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-6319
Practice Address - Country:US
Practice Address - Phone:707-463-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst