Demetrius Jones

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7777 131St St
Seminole, FL 33776-4017

Phone

(727) 492-5369

Fax

(727) 350-3255

NPI assigned

Aug 15, 2019

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1336795350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 131ST ST STE 7",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337764015",
            "telephone_number": "727-492-5369",
            "fax_number": "727-350-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 131ST ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337764017",
            "telephone_number": "727-492-5369",
            "fax_number": "727-350-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DEMETRIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polly Anna Johnson
• Summer Johnson
• Timothy Harold Johnson, RN
• Charyll Thaxton Jones, BHT
• Courtney Jones, APRN
• Mary Jane Jones, OTR L
• Timothy Jones, DO
• Heather E Joyce-Stevens
• Meaghan Judge, NP
• Justine M Junevicus

• Behavior Technician in Seminole, FL
• Providers in Seminole, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.