Individual provider · Type 1 NPI

Ellen Gordon

Day Training/Habilitation Specialist · Culver City, CA

NPI number 1750256830 Active

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Mailing address

1540 E Colorado St
Glendale, CA 91205-1514

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 1750256830

Ellen Gordon's National Provider Identifier is 1750256830, issued on Oct 8, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Culver City, CA. The record was last updated on Oct 8, 2025.