RAYMOND CLARK BA NPI 1396561197

NPI Information

  • NPI: 1396561197
  • Provider Name: RAYMOND CLARK, BA
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 300 ILENE ST
    MARTINEZ, CA
    ZIP 94553
  • Phone: (925) 313-7080

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NPI Details

Raymond Clark, BA is a day training habilitation specialist in Martinez, 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. Raymond Clark, BA NPI is 1396561197. 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:

300 ILENE ST
MARTINEZ, CA
ZIP 94553-631
Phone: (925) 313-7080

The enumeration date for this NPI number is 11/25/2024 and was last updated on 5/13/2025.

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
1373H00000XDay 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: 11/21/2025

NPI Synchronization or Removal

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