Individual provider · Type 1 NPI

Cody Pequeno

Day Training/Habilitation Specialist · Bethel, AK

NPI number 1023310174 Active

Practice location

700 Chief Eddie Hoffman Highway
Bethel, AK 99559

Call (907) 543-6300 Map

Fax (907) 543-6366

Mailing address

P. O. Box 287
Bethel, AK 99559

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed
Personal Care Attendant 3747P1801XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1023310174

Cody Pequeno's National Provider Identifier is 1023310174, issued on Nov 23, 2010. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Bethel, AK. The record was last updated on Nov 23, 2010.