Healthcare Provider Details

I. General information

NPI: 1225983802
Provider Name (Legal Business Name): KENYA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2026
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1482 RUTHERFORD LN
OAKLEY CA
94561-3124
US

IV. Provider business mailing address

1482 RUTHERFORD LN
OAKLEY CA
94561-3124
US

V. Phone/Fax

Practice location:
  • Phone: 707-319-3385
  • Fax: 707-319-3385
Mailing address:
  • Phone: 707-319-3385
  • Fax: 707-319-3385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: