Individual provider · Type 1 NPI
Jewellius Orryon Green
Day Training/Habilitation Specialist · Lancaster, CA
NPI number
1053965434
Active · reactivated Nov 10, 2020
Practice location
506 W Jackman St
Lancaster, CA 93534-2531
Mailing address
2861 Jojoba Ter
Palmdale, CA 93550-5804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Day Training/Habilitation Specialist Primary | 373H00000X | None 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 1053965434
Jewellius Orryon Green's National Provider Identifier is 1053965434, issued on Jul 24, 2019. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Lancaster, CA. The record was last updated on Apr 28, 2025.