Provider Demographics
NPI:1235311259
Name:JONES, NATALIE DEANAE
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:DEANAE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:DEANAE
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3020 BERNAL AVE. STE 110 #2034
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566
Mailing Address - Country:US
Mailing Address - Phone:925-621-0892
Mailing Address - Fax:925-523-0918
Practice Address - Street 1:3020 BERNAL AVE. STE 110 #2034
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566
Practice Address - Country:US
Practice Address - Phone:925-621-0892
Practice Address - Fax:925-523-0918
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1922162999OtherCOMMUNITYBEHAVIORALHEALTH