JACOB WADLINGOTN NPI 1639520455

NPI Information

NPI: 1639520455
Provider Name: JACOB WADLINGOTN
Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Individual
Address:
829 KRISTI LN
LOS ALAMOS, NM
ZIP 87544
Phone: (806) 268-1517
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Jacob Wadlingotn is a day training habilitation specialist in Los Alamos, NM. 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. Jacob Wadlingotn NPI is 1639520455. 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:

829 KRISTI LN
LOS ALAMOS, NM
ZIP 87544-867
Phone: (806) 268-1517

The enumeration date for this NPI number is 6/22/2016 and was last updated on 6/22/2016.

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
1	373H00000X	Day Training/Habilitation Specialist				Yes

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: 5/5/2024

NPI Synchronization or Removal

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