Healthcare Provider Details

I. General information

NPI: 1053248484
Provider Name (Legal Business Name): ABLED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8894 GREENBACK LN
ORANGEVALE CA
95662-4019
US

IV. Provider business mailing address

8894 GREENBACK LN
ORANGEVALE CA
95662-4019
US

V. Phone/Fax

Practice location:
  • Phone: 916-790-8020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: KARA GREEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 916-790-8020