Individual provider · Type 1 NPI

Karen R. Blackburn

Developmentally Disabled Services Day Training Agency · Fairbanks, AK

NPI number 1467740779 Active

Practice location

909 Cushman St Ste 103
Fairbanks, AK 99701-4668

Fax (907) 457-6598

Mailing address

122 1st Ave, Suite 201
Fairbanks, AK 99701-4803

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Health & Wellness Coach 171400000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XNone listed
Developmentally Disabled Services Day Training Agency Primary 251C00000XNone listed
Dance Therapist 225600000XNone listed
Case Management Agency 251B00000XNone listed
Chore Provider 372500000XNone listed

Developmentally Disabled Services Day Training Agency: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational function…

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About NPI 1467740779

Karen R. Blackburn's National Provider Identifier is 1467740779, issued on Jul 20, 2011. The primary taxonomy on file is Developmentally Disabled Services Day Training Agency (251C00000X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 10, 2024.