KENNY JUNIOR RODRIGUEZ TRUJILLO NPI 1003406810

NPI Information

NPI: 1003406810
Provider Name: KENNY JUNIOR RODRIGUEZ TRUJILLO
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
250 BON AIR ROAD, UNIT B - 1ST FLOOR (ACCESS TEAM)
GREENBRAE, CA
ZIP 94904
Phone: (888) 818-1115
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Kenny Junior Rodriguez Trujillo is a peer specialist in Greenbrae, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Kenny Junior Rodriguez Trujillo NPI is 1003406810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

250 BON AIR ROAD, UNIT B - 1ST FLOOR (ACCESS TEAM)
GREENBRAE, CA
ZIP 94904
Phone: (888) 818-1115

The enumeration date for this NPI number is 1/25/2021 and was last updated on 4/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	106S00000X	Behavior Technician	MPSS-IJQGWM	CALIFORNIA	No
2	225400000X	Rehabilitation Practitioner	MPSS-IJQGWM	CALIFORNIA	No
3	175T00000X	Peer Specialist	MPSS-IJQGWM	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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