LISA ANN KENNEDY SAC - CADTP #7774 - NPI 1639547474 - Day Training/Habilitation Specialist in Martinez, CA

Q: What is Lisa Kennedy's NPI number?

The NPI number for Lisa Kennedy is 1639547474. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Q: What is Lisa Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Kennedy was last updated on April 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Ann Kennedy Sac - Cadtp #7774 NPPES

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

LISA ANN KENNEDY SAC - CADTP #7774 (NPI 1639547474) is an individual day training/habilitation specialist in Martinez, California, licensed in California (7774) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1639547474

Entity TypeIndividualFemale

Primary Taxonomy373H00000X

Provider Legal NameLISA ANN KENNEDYCredential: SAC - CADTP #7774

Location Address1340 ARNOLD DR STE 200Martinez, CA 94553-4189

Mailing Address1340 Arnold Dr Ste 200Martinez, CA 94553-4189 · (925) 421-9107

Phone(925) 421-9107

Sole ProprietorNo

Enumeration DateSeptember 10, 2015

Last NPPES UpdateApril 8, 2026

NPPES CertifiedApril 8, 2026

✔ NPI 1639547474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

License✔ Licensed in CA · 7774

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.

1340 ARNOLD DR STE 200, Martinez, CA 94553

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