Provider Demographics
NPI:1063395630
Name:JONES, ISAAC CHER-AE'
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:CHER-AE'
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 N LAMAR BLVD STE B168
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1031
Mailing Address - Country:US
Mailing Address - Phone:512-387-0205
Mailing Address - Fax:
Practice Address - Street 1:7801 N LAMAR BLVD STE B168
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1031
Practice Address - Country:US
Practice Address - Phone:512-387-0205
Practice Address - Fax:512-387-0205
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-25-0627-980471103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst