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NPI Code Detail

MEDICARE: MAISHA JOHARI JONES

MEDICARE: MAISHA JOHARI JONES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1093900870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAISHA JOHARI JONES
Provider Business Mailing Address
First Line : 2201 PARK TOWNE CIR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-0418
Country : US
Telephone Number : 916-480-9000
Fax Number : 916-480-9380
Provider Business Practice Location Address
First Line : 1200 CONCORD AVE STE 100
Second Line :
City : CONCORD
State : CA
Zip : 94520-4969
Country : US
Telephone Number : 510-268-8120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2007
Last Update Date : 07/18/2023

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Directions to “ MAISHA JOHARI JONES ” Practice Location

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