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Shannel Atiga

Day Training/Habilitation Specialist in Rialto, CA. Individual provider (NPI-1).

NPI number1114708476
StatusActive
Last updated in NPPESApr 7, 2025

Details

NPI
1114708476
Entity type
Individual (NPI-1)
Name
Shannel Atiga
Sex
Female
Sole proprietor
No
Enumeration date
Oct 11, 2023
Certification date
Apr 7, 2025
Last updated
Apr 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

850 E Foothill Blvd
Rialto, CA 92376-5230

Phone 909-380-2629

Mailing address

850 E Foothill Blvd
Rialto, CA 92376-5230

Phone 909-421-9301

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