Healthcare Provider Details

I. General information

NPI: 1316802804
Provider Name (Legal Business Name): REBECCA LYNN ULINE-JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 ALETHA LN APT 2
VACAVILLE CA
95687-6153
US

IV. Provider business mailing address

1960 ALETHA LN APT 2
VACAVILLE CA
95687-6153
US

V. Phone/Fax

Practice location:
  • Phone: 707-628-7801
  • Fax:
Mailing address:
  • Phone: 707-628-7801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: