Eivor Yana Fragoso
Day Training/Habilitation Specialist in Sylmar, CA. Individual provider (NPI-1).
NPI number1114059409
StatusActive
Last updated in NPPESMay 19, 2025
Details
- NPI
- 1114059409
- Entity type
- Individual (NPI-1)
- Name
- Miss Eivor Yana Fragoso
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2007
- Certification date
- May 19, 2025
- Last updated
- May 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
12510 Van Nuys Blvd.Sylmar, CA 91331
Phone 818-899-2532
Mailing address
12510 Van Nuys Blvd.Sylmar, CA 91331
Phone 818-899-2532
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All 86 Day Training/Habilitation Specialist providers in Sylmar · All 1,732 providers in Sylmar
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