Individual provider · Type 1 NPI

Christian Ryan Odaniel

Day Training/Habilitation Specialist · San Mateo, CA

NPI number 1912728239 Active

Practice location

2251 Palm Ave
San Mateo, CA 94403-1814

Mailing address

815 Old County Rd Apt 236
Belmont, CA 94002-2480

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19530 (CA)
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 1912728239

Christian Ryan Odaniel's National Provider Identifier is 1912728239, issued on Oct 19, 2024. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in San Mateo, CA. The record was last updated on Aug 31, 2026.