Individual provider · NPI-1

Rachel Kay Breedlove

Day Training/Habilitation Specialist · Roseville, CA

NPI number1396499562
StatusActive
Last updated in NPPESApr 28, 2025

Details

NPI
1396499562
Entity type
Individual (NPI-1)
Name
Rachel Kay Breedlove
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2022
Certification date
Apr 28, 2025
Last updated
Apr 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialistb8285351CAYes
101YM0800X Counselor, Mental Health––
171M00000X Case Manager/Care Coordinator––
172V00000X Community Health Worker––

Practice location

1085 Sandringham Way
Roseville, CA 95661-5321

Phone 916-224-0726

Mailing address

1085 Sandringham Way
Roseville, CA 95661-5321

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