=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689540973
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CIARA JAYDEN WELBOURNE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2025
-----------------------------------------------------
Last Update Date | 10/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 429 N SAN ANTONIO RD
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93110-1399
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-568-4118
-----------------------------------------------------
Fax | 720-467-8846
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 911 HORNBECK PL
-----------------------------------------------------
City | SOLVANG
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93463-2240
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-467-8846
-----------------------------------------------------
Fax | 720-467-8846
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 373H00000X
-----------------------------------------------------
Taxonomy Name | Day Training/Habilitation Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------