Tashalla Benford
Individual provider Active NPI Day Training/Habilitation Specialist · Placerville, CA
NPI 1982162988 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1982162988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 670 Placerville Dr
Placerville, CA 95667-4200 - Phone
- (530) 644-2412
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Behavior Analyst | 103K00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | CA | Yes |
Addresses
Primary practice location
670 Placerville Dr
Placerville, CA 95667-4200
Mailing address
670 Placerville Dr Ste a
Placerville, CA 95667-4200
Phone (530) 644-2412
Other providers in Placerville, CA
- Yuliya S Belikova
- Lydia Louise Bell
- Valerie Lee Bellnap
- Christina Joan Belmer
- Debra Marie Benevidez
- Lawrence Arnold Berger
- Michael Berry
- Matteo Bertoni
- Cheryl Ann Bethke
- Renee Lynn Betts
All providers in Placerville, 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 Apr 22, 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.