Provider Demographics
NPI:1366231722
Name:BOND, XAVION
Entity type:Individual
Prefix:
First Name:XAVION
Middle Name:
Last Name:BOND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-0910
Mailing Address - Country:US
Mailing Address - Phone:707-572-8105
Mailing Address - Fax:
Practice Address - Street 1:109 MA-WE-MOR LANE
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CA
Practice Address - Zip Code:95570
Practice Address - Country:US
Practice Address - Phone:707-572-8105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker