Individual provider · Type 1 NPI

Tracie King

Day Training/Habilitation Specialist · Los Angeles, CA

NPI number 1750103917 Active

Practice location

4211 Avalon Blvd
Los Angeles, CA 90011-5622

Mailing address

4211 S. Avalon Blvd
Los Angeles, CA 90011-5622

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
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 1750103917

Tracie King's National Provider Identifier is 1750103917, issued on Oct 29, 2024. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 4, 2026.