Individual provider · Type 1 NPI

Lisa Joanne Ellis

Day Training/Habilitation Specialist · Santa Rosa, CA

NPI number 1194960864 Active

Practice location

2245 Challenger Way
Santa Rosa, CA 95407-5418

Call (707) 565-6338 Map

Mailing address

1300 Coddingtown Ctr
Santa Rosa, CA 95401-3537

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Community Health Worker 172V00000XNone 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 1194960864

Lisa Joanne Ellis's National Provider Identifier is 1194960864, issued on Dec 10, 2008. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 17, 2025.