Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | TX | |
N | 103TA0700X | Adult Development & Aging Psychologist | TX | |
N | 103TM1800X | Intellectual & Developmental Disabilities | TX | |
N | 104100000X | Social Worker | TX |
NPI | 1003049438 |
---|---|
Provider Name | Mr. Courtney Ivan Jones |
First Address | Houston, TX 77075-4732 |
Second Address | Houston, TX 77075-4732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2009 |
Last Update Date | 02/09/2009 |