Bobby Coleman, AS

Individual provider Active NPI Day Training/Habilitation Specialist · Exeter, CA

NPI 1376016683 · NPPES record last updated Nov 17, 2025

Key facts

NPI
1376016683
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
1230 N Anderson Rd
Exeter, CA 93221-9674
Phone
(559) 594-4855
NPI assigned
Jan 9, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Associate of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Courage to Change, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X CA Yes

Addresses

Primary practice location

1230 N Anderson Rd
Exeter, CA 93221-9674

Mailing address

1230 N Anderson Rd
Exeter, CA 93221-9674

Other providers in Exeter, CA

All providers in Exeter, CA · Day Training/Habilitation Specialist in California

Sources for this page

Verify at the official NPI Registry.