Individual provider · Type 1 NPI
Shane Anthony Johnson
Day Training/Habilitation Specialist · San Diego, CA
NPI number
1104791656
Active
Practice location
3002 Armstrong St
San Diego, CA 92111-5702
Fax (858) 571-4544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1104791656
Shane Anthony Johnson's National Provider Identifier is 1104791656, issued on Oct 6, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 6, 2025.