Individual provider · Type 1 NPI
Dontel D. Wise
Day Training/Habilitation Specialist · Grand Terrace, CA
NPI number
1316633019
Active
Practice location
21935 Van Buren St Ste 13
Grand Terrace, CA 92313-5624
Mailing address
21935 Van Buren St Ste 1A
Grand Terrace, CA 92313-5652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Day Training/Habilitation Specialist Primary | 373H00000X | None listed |
| Community Health Worker | 172V00000X | 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.
Another provider at this address
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About NPI 1316633019
Dontel D. Wise's National Provider Identifier is 1316633019, issued on Apr 14, 2023. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Grand Terrace, CA. The record was last updated on Jan 14, 2026.