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TYESHA LYNN NICOLE JOHNSON-KING
NPI 1487426706
Day Training/Habilitation Specialist in Stockton, CA

Active since October 30, 2023
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8804 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2025, Oct 30, 2023 (2 updates tracked since 2023).

About Tyesha Lynn Nicole Johnson-king NPPES

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

TYESHA LYNN NICOLE JOHNSON-KING (NPI 1487426706) is an individual day training/habilitation specialist in Stockton, California and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1487426706
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameTYESHA LYNN NICOLE JOHNSON-KING
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8804
Phone(209) 468-8804
Sole ProprietorNo
Enumeration DateOctober 30, 2023
Last NPPES UpdateMarch 22, 20252 updates tracked since enumeration
NPPES CertifiedMarch 22, 2025
✔ NPI 1487426706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1212 N CALIFORNIA ST, Stockton, CA 95202
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Other Providers at the Same Location NPPES 20

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

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
RITA N. MENDOZA
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8718
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686

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 Tyesha Johnson-king's NPI number?

The NPI number for Tyesha Johnson-king is 1487426706. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Tyesha Johnson-king located?

Tyesha Johnson-king practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8804.

What is Tyesha Johnson-king'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 Tyesha Johnson-king was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.