Individual provider · Type 1 NPI

Ka'myah Shackelford

Day Training/Habilitation Specialist · Pleasanton, CA

NPI number 1639774789 Active · reactivated Sep 15, 2025

Practice location

5776 Stoneridge Mall Rd
Pleasanton, CA 94588-2832

Mailing address

1333 Willow Pass Rd Ste 200
Concord, CA 94520-7923

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 1639774789

Ka'myah Shackelford's National Provider Identifier is 1639774789, issued on Dec 4, 2020. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Pleasanton, CA. The record was last updated on Sep 19, 2025.