STEPHANIE VIVAS-CAMPOS NPI 1114535051

NPI Information

  • NPI: 1114535051
  • Provider Name: STEPHANIE VIVAS-CAMPOS
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 290 N D ST STE 700
    SAN BERNARDINO, CA
    ZIP 92401
  • Phone: (909) 963-5355

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NPI Details

Stephanie Vivas-campos is a day training habilitation specialist in San Bernardino, 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. Stephanie Vivas-campos NPI is 1114535051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

290 N D ST STE 700
SAN BERNARDINO, CA
ZIP 92401-705
Phone: (909) 963-5355

The enumeration date for this NPI number is 7/16/2020 and was last updated on 4/17/2025.

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
1101Y00000XCounselorNo
2106S00000XBehavior TechnicianNo
3172V00000XCommunity Health WorkerNo
4373H00000XDay Training/Habilitation SpecialistYes

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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