Individual provider · Type 1 NPI

Jordan Michael Sullivan

Day Training/Habilitation Specialist · Roseville, CA

NPI number 1083199434 Active

Practice location

1520 Eureka Rd Ste 102
Roseville, CA 95661-2849

Call (916) 759-1168 Map

Mailing address

18225 Hale Ave Ste 200
Morgan Hill, CA 95037-3547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Behavior Technician 106S00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner 225400000XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed

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 1083199434

Jordan Michael Sullivan's National Provider Identifier is 1083199434, issued on Oct 2, 2018. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Roseville, CA. The record was last updated on Apr 23, 2025.