Individual provider · Type 1 NPI

Derrick Blackburn

Day Training/Habilitation Specialist · Fairbanks, AK

NPI number 1104663715 Active

Practice location

909 Cushman St Ste 103
Fairbanks, AK 99701-4668

Call (907) 456-4620 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Chore Provider 372500000XNone listed
Adult Companion 372600000XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone 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.

4 other providers at this address

Other day training/habilitation specialist providers in Fairbanks

See all in Fairbanks →

About NPI 1104663715

Derrick Blackburn's National Provider Identifier is 1104663715, issued on Jul 10, 2024. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 10, 2024.