Individual provider · NPI-1
Roxana Jean Anderson
Day Training/Habilitation Specialist · Santa Maria, CA
NPI number1093428567
StatusActive
Last updated in NPPESAug 7, 2025
Details
- NPI
- 1093428567
- Entity type
- Individual (NPI-1)
- Name
- Roxana Jean Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2022
- Certification date
- Aug 7, 2025
- Last updated
- Aug 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172V00000X | Community Health Worker | – | – |
Practice location
124 Carmen Ln Ste ASanta Maria, CA 93458-7768
Phone 805-348-1850
Mailing address
124 Carmen Ln Ste ASanta Maria, CA 93458-7768
Phone 805-348-1850
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