Individual provider · Type 1 NPI

Tattiana Rae Blackwell

Day Training/Habilitation Specialist · Lodi, CA

NPI number 1720964224 Active

Practice location

458 Almond Dr
Lodi, CA 95240-7823

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.

6 other providers at this address

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About NPI 1720964224

Tattiana Rae Blackwell's National Provider Identifier is 1720964224, issued on Aug 12, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Lodi, CA. The record was last updated on Aug 12, 2025.