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Glenda Diert Roberts

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

NPI number1306998554
StatusActive
Last updated in NPPESApr 29, 2025

Details

NPI
1306998554
Entity type
Individual (NPI-1)
Name
Glenda Diert Roberts
Sex
Female
Sole proprietor
No
Enumeration date
Jan 17, 2007
Certification date
Apr 29, 2025
Last updated
Apr 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
172V00000X Community Health Worker––

Practice location

84 Broadway
Richmond, CA 94804-1910

Phone 510-231-7812 · Fax 510-231-7810

Mailing address

84 Broadway
Richmond, CA 94804-1910

Phone 510-231-7812 · Fax 510-231-7810

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