Jessica Bennett
Individual provider Active NPI Day Training/Habilitation Specialist · Altadena, CA
NPI 1487437935 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1487437935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 70 W Manor St
Altadena, CA 91001-4714 - Phone
- (626) 394-3308
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Community Health Worker | 172V00000X | |||
| Adult Companion | 372600000X | |||
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
70 W Manor St
Altadena, CA 91001-4714
Mailing address
70 W Manor St
Altadena, CA 91001-4714
Phone (626) 394-3308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | Other | CA | OTHER |
| 372600000X | Other | CA | OTHER |
Other providers in Altadena, CA
- Francetta Barth
- Nina Elizabeth Beasley
- Francine Crapuchettes Beauvoir
- Elena Becerril-Johansen
- Diane Beekman
- Nathalie Bernabe
- Jose Luis Betancourt
- Regina Marie Bette
- Shawn Bettencourt
- Rita Jean Biasi
All providers in Altadena, CA · Day Training/Habilitation Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.