DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DESTINY LEE VASSAR CATC-II, CADC-I

MEDICARE: DESTINY LEE VASSAR CATC-II, CADC-I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1811537830
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINY LEE VASSAR CATC-II, CADC-I
Provider Business Mailing Address
First Line : 3040 N FRESNO ST
Second Line :
City : FRESNO
State : CA
Zip : 93703-1128
Country : US
Telephone Number : 559-939-5999
Fax Number :
Provider Business Practice Location Address
First Line : 130 W BARSTOW AVE
Second Line :
City : FRESNO
State : CA
Zip : 93704-2156
Country : US
Telephone Number : 559-939-5999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2020
Last Update Date : 12/16/2025

Similar Medicare Providers

1700740164 — ANTHONY ANDREW WILLIAM GALVAN
Practice Location Address:
130 W BARSTOW AVE
FRESNO, CA
93704-2156
Practice Phone: 559-981-1630
Practice Fax:
1619831039 — SAMANTHA G BUSH
Practice Location Address:
130 W BARSTOW AVE
FRESNO, CA
93704-2156
Practice Phone: 559-939-5999
Practice Fax:
1750987681 — KAREN J NAVARRETE MANCILLA
Practice Location Address:
130 W BARSTOW AVE
FRESNO, CA
93704-2156
Practice Phone: 559-538-1230
Practice Fax:
1528742269 — EXODUS RECOVERY, INC.
Practice Location Address:
130 W BARSTOW AVE
FRESNO, CA
93704-2156
Practice Phone: 559-538-1727
Practice Fax: 559-538-1725
1811857642 — RH COMMUNITY BUILDERS LP
Practice Location Address:
130 W BARSTOW AVE
FRESNO, CA
93704-2156
Practice Phone: 559-492-1373
Practice Fax:
1790582708 — MRS. AMELIA SOUDER
Practice Location Address:
8440 N MILLBROOK AVE APT 102
FRESNO, CA
93720-2156
Practice Phone: 559-776-8669
Practice Fax:

Directions to “ DESTINY LEE VASSAR CATC-II, CADC-I” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.