Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tattiana Rae Blackwell

Individual provider Day Training/Habilitation Specialist · NPI 1720964224

Tattiana Rae Blackwell is a Day Training/Habilitation Specialist in Lodi, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

458 Almond Dr
Lodi, CA 95240-7823
Phone: (350) 219-8094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X

Record details

NPI number1720964224
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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