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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | MPSS-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.
Another provider at this address
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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.