DIANE RAE WILSON NPI 1619763380

NPI Information

  • NPI: 1619763380
  • Provider Name: DIANE RAE WILSON
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 60805 29 PALMS HWY
    JOSHUA TREE, CA
    ZIP 92252
  • Phone: (760) 974-5990

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NPI Details

Diane Rae Wilson is a day training habilitation specialist in Joshua Tree, 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. Diane Rae Wilson NPI is 1619763380. 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:

60805 29 PALMS HWY
JOSHUA TREE, CA
ZIP 92252-901
Phone: (760) 974-5990

The enumeration date for this NPI number is 4/17/2025 and was last updated on 5/5/2025.

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
1171M00000XCase Manager/Care CoordinatorNo
2373H00000XDay 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

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