Individual provider · Type 1 NPI

Alise Nicole Blackmon

Day Training/Habilitation Specialist · Pittsburg, CA

NPI number 1780575530 Active

Practice location

60 Gold Crest Ct
Pittsburg, CA 94565-6500

Call (925) 267-2059 Map

Mailing address

1200 W 10th St
Antioch, CA 94509-1407

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 1780575530

Alise Nicole Blackmon's National Provider Identifier is 1780575530, issued on Jul 10, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Pittsburg, CA. The record was last updated on Aug 27, 2025.