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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELIS RAQUEL ELEAZER
NPI 1154227130
Day Training/Habilitation Specialist in Stockton, CA

Active since October 16, 2026
4545 GEORGETOWN PL STE A3, STOCKTON, CA 95207(209) 955-1139 Get Directions Write a Review

NPPES record added: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelis Raquel Eleazer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELIS RAQUEL ELEAZER (NPI 1154227130) is an individual day training/habilitation specialist in Stockton, California and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1154227130
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameKELIS RAQUEL ELEAZER
Location Address4545 GEORGETOWN PL STE A3Stockton, CA 95207-6228
Mailing Address4545 Georgetown Pl Ste A3Stockton, CA 95207-6228 · (209) 955-1139
Phone(209) 955-1139
Sole ProprietorNo
Enumeration DateOctober 16, 2026
NPPES CertifiedOctober 16, 2026
✔ NPI 1154227130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
4545 GEORGETOWN PL STE A3, Stockton, CA 95207
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY PALACA
Social Worker (Clinical)
4545 GEORGETOWN PL STE A3
STOCKTON, CA 95207
San Joaquin County (209) 955-1139
MARINA MOZQUEDA
Day Training/Habilitation Specialist
4545 GEORGETOWN PL STE A3
STOCKTON, CA 95207
San Joaquin County (209) 808-1631
DESTINY FLORES
Licensed Vocational Nurse
4545 GEORGETOWN PL STE A3
STOCKTON, CA 95207
San Joaquin County (209) 955-1139
JENNISE MANZO
Peer Specialist
4545 GEORGETOWN PL STE A3
STOCKTON, CA 95207
San Joaquin County (209) 955-1139
MARC BRANCO
Day Training/Habilitation Specialist
4545 GEORGETOWN PL STE A3
STOCKTON, CA 95207
San Joaquin County (209) 470-3349
LOIS CARTER-SHAW
Peer Specialist
4545 GEORGETOWN PL STE A3
STOCKTON, CA 95207
San Joaquin County (209) 479-5429
TIFFANY ALEXANDRIA ALONZO MOORE AMFT
Marriage & Family Therapist
4545 GEORGETOWN PL STE A3
STOCKTON, CA 95207
San Joaquin County (209) 429-0377
TELECARE CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
4545 GEORGETOWN PL STE A3
STOCKTON, CA 95207
San Joaquin County (510) 337-7950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelis Eleazer's NPI number?

The NPI number for Kelis Eleazer is 1154227130. It was assigned to this individual provider in the NPPES registry on October 16, 2026.

Where is Kelis Eleazer located?

Kelis Eleazer practices at 4545 Georgetown Pl Ste A3, Stockton, CA 95207. The listed phone number is (209) 955-1139.

What is Kelis Eleazer's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Kelis Eleazer was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.