Individual provider · NPI-1

Melissa Acevedo

Day Training/Habilitation Specialist · Oakland, CA

NPI number1477353399
StatusActive
Last updated in NPPESAug 26, 2025

Details

NPI
1477353399
Entity type
Individual (NPI-1)
Name
Melissa Acevedo
Sex
Female
Sole proprietor
No
Enumeration date
Mar 18, 2025
Certification date
Aug 26, 2025
Last updated
Aug 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
172V00000X Community Health Worker––
225400000X Rehabilitation Practitioner–CA

Practice location

3800 Coolidge Ave
Oakland, CA 94602-3399

Phone 510-482-2244

Mailing address

520 W Palmdale Blvd Ste Palmdale
Palmdale, CA 93551-4229

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