Basic Information
| Provider Information | |||||||||
| NPI: | 1043984206 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TORI JONES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2650 FAIR OAKS BLVD APT 2 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958644943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596842205 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4980 HILLSDALE CIR | ||||||||
| Address2: | |||||||||
| City: | EL DORADO HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 957625726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9166936469 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2021 | ||||||||
| LastUpdateDate: | 08/27/2021 | ||||||||
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| AuthorizedOfficialLastName: | JONES | ||||||||
| AuthorizedOfficialFirstName: | TORI | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | REGISTERED BEHAVIORAL TECHNICIAN | ||||||||
| AuthorizedOfficialTelephone: | 5596842205 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.