Individual provider · Type 1 NPI

Anthony Tyler Roth

Day Training/Habilitation Specialist · Roseville, CA

NPI number 1457078404 Active

Practice location

1148 Coloma Way, Apt 26-20
Roseville, CA 95661-4480

Call (916) 774-6647 Map

Mailing address

1133 Coloma Way
Roseville, CA 95661-4480

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Community Health Worker	172V00000X	None listed
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 1457078404

Anthony Tyler Roth's National Provider Identifier is 1457078404, issued on Oct 20, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Roseville, CA. The record was last updated on Apr 22, 2025.