Individual provider Active NPI

Camille Merrian Jones, RBT

  • Behavior Technician
  • Columbia, MD
National Provider Identifier
1003462672
Registry record updated Aug 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-93068 Issued in MD
Practice address
8815 Columbia 100 Pkwy
Columbia, MD 21045-2361
Phone
(877) 776-8502
NPI assigned
Aug 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-93068 MD Primary

Addresses

Primary practice location

8815 Columbia 100 Pkwy
Columbia, MD 21045-2361

Mailing address

8001 Jones Rd
Jessup, MD 20794-9536
Phone (443) 546-7528

Other identifiers 1

IdentifierTypeStateIssuer
19-93068MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jonesmillie27@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-19-93068MDMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565395200000",
    "number": "1003462672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 JONES RD",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207949536",
            "telephone_number": "443-546-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 COLUMBIA 100 PKWY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452361",
            "telephone_number": "877-776-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CAMILLE",
        "middle_name": "MERRIAN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-10",
        "last_updated": "2019-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-19-93068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19-93068",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jonesmillie27@gmail.com",
            "affiliation": "N",
            "endpointDescription": "jonesmillie27@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8815 Columbia 100 Pkwy",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210452361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.