NPI Index

VICTORIA VICKERSTAFF

Day Training/Habilitation Specialist

Active Individual
NPI: 1235003096

Practice Address

12110 LEEILA AVE
Cleveland, OH 44135

Phone: (216) 484-3209

Specialties

Specialty Code Primary License
In Home Supportive Care 253Z00000X No -
Clinic/Center - Health Service 261QH0100X No -
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No -
Blood Bank 331L00000X No -
Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies 332BN1400X No -
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies 332BX2000X No -
Transportation Broker 347E00000X No -
Home Health Aide 374U00000X No -
Nurse's Aide 376K00000X No -
Respite Care 385H00000X No -
Day Training/Habilitation Specialist 373H00000X Yes -

Frequently Asked Questions

NPI 1235003096 is the National Provider Identifier for VICTORIA VICKERSTAFF, a Day Training/Habilitation Specialist provider located in Cleveland, OH. This NPI was enumerated on October 3, 2025.
VICTORIA VICKERSTAFF practices at 12110 LEEILA AVE, Cleveland, OH 44135.

Quick Facts

NPI
1235003096
Type
Individual
Enumerated
Oct 3, 2025
Last Updated
Oct 3, 2025

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