Travis Judd Hollister
Day Training/Habilitation Specialist in Pleasant Hill, CA. Individual provider (NPI-1).
NPI number1295577005
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1295577005
- Entity type
- Individual (NPI-1)
- Name
- Travis Judd Hollister
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2024
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
391 Taylor Blvd Ste 100Pleasant Hill, CA 94523-2289
Phone 925-608-6550
Mailing address
391 Taylor Blvd Ste 100Pleasant Hill, CA 94523-2289
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Other Day Training/Habilitation Specialist providers in Pleasant Hill, CA
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All 11 Day Training/Habilitation Specialist providers in Pleasant Hill · All 1,052 providers in Pleasant Hill
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