Individual provider · Type 1 NPI

Samantha Ericson

Day Training/Habilitation Specialist · Fremont, CA

NPI number 1548855802 Active

Practice location

39210 State St Ste 204
Fremont, CA 94538-1456

Call (510) 894-4135 Map

Mailing address

2143 Wyandotte St Apt 3
Mountain View, CA 94043-2368

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000X46-1305562 (CA)
Behavior Technician 106S00000X46-1305562 (CA)

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 1548855802

Samantha Ericson's National Provider Identifier is 1548855802, issued on Mar 8, 2021. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Fremont, CA. The record was last updated on Sep 29, 2026.