Individual provider · Type 1 NPI
Bonita Street, PTA
Day Training/Habilitation Specialist · Ridgeway, SC
NPI number
1730540717
Active
Practice location
198 Sawney Creek Cir
Ridgeway, SC 29130-7104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Day Training/Habilitation Specialist Primary | 373H00000X | 3474 (SC) |
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.
About NPI 1730540717
Bonita Street, PTA's National Provider Identifier is 1730540717, issued on Mar 17, 2016. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Ridgeway, SC. The record was last updated on Jan 27, 2025.