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MAX RYAN BLACKWELL
NPI 1780579748
Day Training/Habilitation Specialist in Fresno, CA

Active since June 10, 2025
4141 N BLACKSTONE AVE, FRESNO, CA 93726(559) 579-1744 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Max Ryan Blackwell NPPES

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

MAX RYAN BLACKWELL (NPI 1780579748) is an individual day training/habilitation specialist in Fresno, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1780579748
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameMAX RYAN BLACKWELL
Location Address4141 N BLACKSTONE AVEFresno, CA 93726-3808
Mailing Address4141 N Blackstone AveFresno, CA 93726-3808 · (559) 579-1744
Phone(559) 579-1744
Sole ProprietorNo
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1780579748 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.
4141 N BLACKSTONE AVE, Fresno, CA 93726
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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.

SAMANTHA ROSE CHAVEZ
Day Training/Habilitation Specialist
4141 N BLACKSTONE AVE
FRESNO, CA 93726
Fresno County (559) 579-1744
SUSANA RENTERIA FERNANDEZ
Day Training/Habilitation Specialist
4141 N BLACKSTONE AVE
FRESNO, CA 93726
Fresno County (559) 579-1744
JOHN-ANTHONY FREDRICK BANUELOS
Day Training/Habilitation Specialist
4141 N BLACKSTONE AVE
FRESNO, CA 93726
Fresno County (559) 579-1744
FARRANT FRAZIER
Day Training/Habilitation Specialist
4141 N BLACKSTONE AVE
FRESNO, CA 93726
Fresno County (559) 579-1744
ANGEL DAVID DIAZ
Peer Specialist
4141 N BLACKSTONE AVE
FRESNO, CA 93726
Fresno County (559) 579-1744
VINCENT EDWARD HURLEY
Day Training/Habilitation Specialist
4141 N BLACKSTONE AVE
FRESNO, CA 93726
Fresno County (559) 579-1744
BRANDON ANTHONY DELATTA-MORENO
Day Training/Habilitation Specialist
4141 N BLACKSTONE AVE
FRESNO, CA 93726
Fresno County (559) 579-1744
ERIKA D SCOTT
Day Training/Habilitation Specialist
4141 N BLACKSTONE AVE
FRESNO, CA 93726
Fresno County (559) 579-1744

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 Max Blackwell's NPI number?

The NPI number for Max Blackwell is 1780579748. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Max Blackwell located?

Max Blackwell practices at 4141 N Blackstone Ave, Fresno, CA 93726. The listed phone number is (559) 579-1744.

What is Max Blackwell'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 Max Blackwell was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.