Kyler Roman Greaves Stanion
Day Training/Habilitation Specialist in Richmond, CA. Individual provider (NPI-1).
NPI number1013762095
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1013762095
- Entity type
- Individual (NPI-1)
- Name
- Kyler Roman Greaves Stanion
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2024
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
200 24th StRichmond, CA 94804-1804
Phone 510-412-9248
Mailing address
200 24th StRichmond, CA 94804-1804
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