Individual provider · Type 1 NPI

Jennie Lisette Edeza

Day Training/Habilitation Specialist · Riverside, CA

NPI number 1962092593 Active

Practice location

2020 Iowa Ave Ste 101
Riverside, CA 92507-7428

Call (951) 291-4309 Map

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 1962092593

Jennie Lisette Edeza's National Provider Identifier is 1962092593, issued on Jan 18, 2021. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Riverside, CA. The record was last updated on Jul 25, 2025.