Individual provider · Type 1 NPI

Samantha Bouth

Day Training/Habilitation Specialist · Manteca, CA

NPI number 1801712161 Active

Practice location

302 Cherry Ln Ste 208
Manteca, CA 95337-4311

Call (209) 647-6200 Map

Fax (209) 647-6210

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 1801712161

Samantha Bouth's National Provider Identifier is 1801712161, issued on Jun 29, 2026. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Manteca, CA. The record was last updated on Jun 29, 2026.