Individual provider · Type 1 NPI

Eric Provost

Day Training/Habilitation Specialist · Eureka, CA

NPI number 1538052980 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Mailing address

574 Pleasant Ave
Eureka, CA 95503-6521

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
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 1538052980

Eric Provost's National Provider Identifier is 1538052980, issued on Jun 2, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Eureka, CA. The record was last updated on Aug 5, 2025.