Individual provider · Type 1 NPI
Keith Allen Telligman
Day Training/Habilitation Specialist · Valley Glen, CA
NPI number
1093059917
Active
Practice location
5966 Costello Ave
Valley Glen, CA 91401-4338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | 9176 (CA) |
| Day Training/Habilitation Specialist Primary | 373H00000X | 9176 (CA) |
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.
About NPI 1093059917
Keith Allen Telligman's National Provider Identifier is 1093059917, issued on Nov 15, 2012. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Valley Glen, CA. The record was last updated on May 8, 2025.