Rithy Ieng
Day Training/Habilitation Specialist in Stockton, CA. Individual provider (NPI-1).
NPI number1003673344
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1003673344
- Entity type
- Individual (NPI-1)
- Name
- Rithy Ieng
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2024
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
1212 N California StStockton, CA 95202-1552
Phone 209-468-0103
Mailing address
1212 N California StStockton, CA 95202-1552
Phone 209-468-0103
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All 291 Day Training/Habilitation Specialist providers in Stockton · All 11,041 providers in Stockton
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