Healthcare Provider Details

I. General information

NPI: 1306563192
Provider Name (Legal Business Name): HAVANAH FRAMPTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2022
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SHAFFER RD, BUILDING 1, SUITE A
SANTA CRUZ CA
95060
US

IV. Provider business mailing address

1201 SHAFFER RD STE A
SANTA CRUZ CA
95060-5763
US

V. Phone/Fax

Practice location:
  • Phone: 831-420-0120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: