Individual provider · Type 1 NPI

Jordan Austin Kai Gouveia, EMT

Day Training/Habilitation Specialist · Petaluma, CA

NPI number 1053299479 Active

Practice location

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XE177413 (CA)

Day Training/Habilitation Specialist: 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.

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About NPI 1053299479

Jordan Austin Kai Gouveia, EMT's National Provider Identifier is 1053299479, issued on Aug 25, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Petaluma, CA. The record was last updated on Aug 25, 2025.