Individual provider · Type 1 NPI
Kristen Waggoner
Day Training/Habilitation Specialist · Tulare, CA
NPI number
1679224562
Active
Practice location
327 S K St
Tulare, CA 93274-5416
Fax (559) 688-1304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Day Training/Habilitation Specialist Primary | 373H00000X | None 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 1679224562
Kristen Waggoner's National Provider Identifier is 1679224562, issued on Jan 12, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Tulare, CA. The record was last updated on Jun 26, 2025.