KEITH ALLEN TELLIGMAN NPI 1093059917

NPI Information

  • NPI: 1093059917
  • Provider Name: KEITH ALLEN TELLIGMAN
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 5966 COSTELLO AVE
    VALLEY GLEN, CA
    ZIP 91401
  • Phone: (818) 667-4365

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NPI Details

Keith Allen Telligman is a day training habilitation specialist in Valley Glen, CA. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Keith Allen Telligman NPI is 1093059917. 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:

5966 COSTELLO AVE
VALLEY GLEN, CA
ZIP 91401-338
Phone: (818) 667-4365

The enumeration date for this NPI number is 11/15/2012 and was last updated on 5/8/2025.

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 Taxonomy Specialization License Number License State Primary
1172V00000XCommunity Health Worker9176CALIFORNIANo
2373H00000XDay Training/Habilitation Specialist9176CALIFORNIAYes

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: 3/30/2025

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