Provider Demographics
NPI:1245074608
Name:AONE, JANA ALI
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:ALI
Last Name:AONE
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 1:1924 VICKSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-5416
Mailing Address - Country:US
Mailing Address - Phone:510-775-3312
Mailing Address - Fax:
Practice Address - Street 1:1924 VICKSBURG AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-5416
Practice Address - Country:US
Practice Address - Phone:510-775-3312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst