Individual
OCTAVIA ANTOINETTE WATKINS
Active
Individual
OCTAVIA ANTOINETTE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
CA
225400000X
Rehabilitation Practitioner
—
CA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
CA
Other
Enumeration date
05/07/2019
Last updated
07/31/2026
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