Monico Lares Jacobo
Day Training/Habilitation Specialist in San Leandro, CA. Individual provider (NPI-1).
NPI number1649840323
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1649840323
- Entity type
- Individual (NPI-1)
- Name
- Monico Lares Jacobo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2021
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 247200000X | Technician, Other | – | – |
Practice location
2275 Arlington DrSan Leandro, CA 94578-1132
Phone 510-317-1444
Mailing address
8955 Golf Links RdOakland, CA 94605-4124
Phone 510-654-4004
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All 60 Day Training/Habilitation Specialist providers in San Leandro · All 5,527 providers in San Leandro
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