Individual provider · Type 1 NPI

Ty Walter Gregg

Day Training/Habilitation Specialist · Antioch, CA

NPI number 1497557417 Active

Practice location

2213 Buchanan Rd
Antioch, CA 94509-4265

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 1497557417

Ty Walter Gregg's National Provider Identifier is 1497557417, issued on Mar 27, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Antioch, CA. The record was last updated on Apr 17, 2025.