Individual provider · Type 1 NPI

Kelis Raquel Eleazer

Day Training/Habilitation Specialist · Stockton, CA

NPI number 1154227130 Active

Practice location

4545 Georgetown Pl Ste A3
Stockton, CA 95207-6228

Call (209) 955-1139 Map

Specialties and licenses

TaxonomyCodeLicense
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.

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About NPI 1154227130

Kelis Raquel Eleazer's National Provider Identifier is 1154227130, issued on Oct 16, 2026. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Stockton, CA. The record was last updated on Oct 16, 2026.