Individual provider · Type 1 NPI
Jessica Dalistan
Day Training/Habilitation Specialist · Ukiah, CA
NPI number
1083424113
Active
Practice location
776 S State St Ste 103
Ukiah, CA 95482-5833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1083424113
Jessica Dalistan's National Provider Identifier is 1083424113, issued on Jan 10, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Ukiah, CA. The record was last updated on Apr 16, 2025.