Individual provider · Type 1 NPI

Cassandra Sysouvanh

Day Training/Habilitation Specialist · Stockton, CA

NPI number 1902458508 Active

Practice location

4545 Georgetown Pl
Stockton, CA 95207-6215

Call (209) 639-4685 Map

Mailing address

PO Box 135
Stockton, CA 95201-0135

Other practice locations

  • 7224 S Recovery Rd, French Camp, CA 95231-8901 · (209) 888-6595
  • 7236 S Recovery Rd, French Camp, CA 95231-8901 · (209) 888-6595

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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.

16 other providers at this address

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About NPI 1902458508

Cassandra Sysouvanh's National Provider Identifier is 1902458508, issued on Jul 12, 2019. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Stockton, CA. The record was last updated on Apr 8, 2025.