MEDICARE: DARNELL 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
1	103K00000X	Behavior Analyst		CA

General Provider Information

NPI Number	:	1417622218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARNELL JONES

Provider Business Mailing Address
First Line	:	1411 W 190TH ST STE 110
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90248-4370
Country	:	US
Telephone Number	:	714-785-3196
Fax Number	:

Provider Business Practice Location Address
First Line	:	7910 LA TIJERA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3134
Country	:	US
Telephone Number	:	310-649-5731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2021
Last Update Date	:	02/15/2026

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Directions to “ DARNELL JONES ” Practice Location

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