Individual provider · Type 1 NPI

Elliott Blackburn

Day Training/Habilitation Specialist · Hayward, CA

NPI number 1477486959 Active

Practice location

22245 Main St
Hayward, CA 94541-4053

Call (415) 450-5607 Map

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone 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 1477486959

Elliott Blackburn's National Provider Identifier is 1477486959, issued on Jun 4, 2026. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Hayward, CA. The record was last updated on Jun 4, 2026.