Healthcare Provider Details

I. General information

NPI: 1073295804
Provider Name (Legal Business Name): PAYTON FAITH JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8081 KINGSTON PIKE STE 102
KNOXVILLE TN
37919-5588
US

IV. Provider business mailing address

5529 MALACHI CIR
KNOXVILLE TN
37918-6134
US

V. Phone/Fax

Practice location:
  • Phone: 888-517-8377
  • Fax:
Mailing address:
  • Phone: 423-794-7230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2830061
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: