Individual provider Active NPI

Clinishia Breeon Daza Wilsononeal

  • Day Training/Habilitation Specialist
  • Martinez, CA
National Provider Identifier
1467361949
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
F1221395 Issued in CA
Practice address
300 Ilene St
Martinez, CA 94553-2631
Phone
(510) 283-8955
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X F1221395 CA Primary

Addresses

Primary practice location

300 Ilene St
Martinez, CA 94553-2631

Mailing address

2235 E Leland Rd Apt 169
Pittsburg, CA 94565-5161
Phone (510) 283-8955

Medicare participation

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1467361949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E LELAND RD APT 169",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655161",
            "telephone_number": "510-283-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ILENE ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945532631",
            "telephone_number": "510-283-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSONONEAL",
        "first_name": "CLINISHIA",
        "middle_name": "BREEON DAZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "F1221395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.