Ty Walter Gregg
Ty Walter Gregg is a Day Training/Habilitation Specialist in Antioch, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2213 Buchanan RdAntioch, CA 94509-4265
Phone: (707) 712-5919
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Specialties & licences
| Day Training/Habilitation Specialist (primary) | Taxonomy 373H00000X |
|---|
Record details
| NPI number | 1497557417 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2025 |
| Last updated in NPPES | April 17, 2025 |
| Certification date | April 17, 2025 |
| Mailing address | 2213 Buchanan Rd, Antioch, CA 94509-4265 |
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