Individual provider · NPI-1

Dominic Joseph Acevedo

Day Training/Habilitation Specialist · San Leandro, CA

NPI number1629355177
StatusActive
Last updated in NPPESJun 30, 2025

Details

NPI
1629355177
Entity type
Individual (NPI-1)
Name
Mr. Dominic Joseph Acevedo
Sex
Male
Sole proprietor
No
Enumeration date
Nov 11, 2011
Certification date
Jun 6, 2025
Last updated
Jun 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
247200000X Technician, Other––

Practice location

2275 Arlington Dr.
San Leandro
San Leandro, CA 94578

Phone 510-481-1222

Mailing address

124 River Rd
Salinas, CA 93908-9601

Phone 831-455-9965 · Fax 831-455-4777

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