Tamiya Anderson

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

NPI 1790402006 · NPPES record last updated Mar 17, 2025

Key facts

NPI
1790402006
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
16940 Highway 14 Ste F
Mojave, CA 93501-1238
Phone
(661) 202-2076
NPI assigned
Oct 26, 2022
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)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X CA Yes

Addresses

Primary practice location

16940 Highway 14 Ste F
Mojave, CA 93501-1238

Mailing address

16940 Highway 14 Ste F
Mojave, CA 93501-1238

Other providers in Mojave, CA

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

Sources for this page

Verify at the official NPI Registry.