Provider Demographics
NPI:1578225116
Name:JONES, DANIELLE MONIQUE
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MONIQUE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 SONOMA AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-1437
Mailing Address - Country:US
Mailing Address - Phone:415-571-5453
Mailing Address - Fax:
Practice Address - Street 1:4980 WATT AVE STE B
Practice Address - Street 2:
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-5181
Practice Address - Country:US
Practice Address - Phone:916-374-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst