Jennifer Mari Barracks, MHS
Day Training/Habilitation Specialist in Rialto, CA. Individual provider (NPI-1).
NPI number1982127254
StatusActive
Last updated in NPPESApr 10, 2025
Details
- NPI
- 1982127254
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Mari Barracks
- Credential
- MHS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2017
- Certification date
- Apr 10, 2025
- Last updated
- Apr 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 175T00000X | Peer Specialist | – | – |
Practice location
850 E. Foothill BlvdRialto, CA 92376
Phone 909-873-4409 · Fax 909-421-4677
Mailing address
850 E Foothill BlvdRialto, CA 92376-5230
Phone 909-421-9452 · Fax 909-421-4686
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All 23 Day Training/Habilitation Specialist providers in Rialto · All 1,367 providers in Rialto
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