BLAKE LEON MUSGRAVE NPI 1124955711

NPI Information

  • NPI: 1124955711
  • Provider Name: BLAKE LEON MUSGRAVE
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 496 S BARTON AVE
    FRESNO, CA
    ZIP 93702
  • Phone: (559) 860-4422

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NPI Details

Blake Leon Musgrave is a day training habilitation specialist in Fresno, 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. Blake Leon Musgrave NPI is 1124955711. 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:

496 S BARTON AVE
FRESNO, CA
ZIP 93702-985
Phone: (559) 860-4422

The enumeration date for this NPI number is 5/6/2026 and was last updated on 5/6/2026.

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
1373H00000XDay Training/Habilitation SpecialistCALIFORNIAYes

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: 11/21/2025

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