Individual provider · Type 1 NPI

Avery Boyken

Peer Specialist · Sacramento, CA

NPI number 1306791090 Active

Practice location

3725 Marysville Blvd
Sacramento, CA 95838-3738

Mailing address

511 Wilhaggin Dr
Sacramento, CA 95864-5911

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-SRYKQV (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1306791090

Avery Boyken's National Provider Identifier is 1306791090, issued on Feb 27, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Feb 27, 2026.