Individual provider · Type 1 NPI

Malissa Anderson

Day Training/Habilitation Specialist · Stockton, CA

NPI number 1629966072 Active

Practice location

5634 Jeremy Way
Stockton, CA 95212-2867

Call (209) 888-4969 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 1629966072

Malissa Anderson's National Provider Identifier is 1629966072, issued on Jun 25, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Stockton, CA. The record was last updated on Jun 25, 2025.