Individual provider · NPI-1

Malisa Adams

Day Training/Habilitation Specialist · Los Angeles, CA

NPI number1760366256
StatusActive
Last updated in NPPESAug 5, 2025

Details

NPI
1760366256
Entity type
Individual (NPI-1)
Name
Malisa Adams
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2025
Certification date
Aug 5, 2025
Last updated
Aug 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

12021 Wilmington Ave Ste 2b
Los Angeles, CA 90059-3019

Phone 310-221-6336

Mailing address

12021 Wilmington Ave Ste 2b
Los Angeles, CA 90059-3019

Phone 310-221-6336

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