Individual provider · Type 1 NPI

Ivette Carrillo Gonzalez

Day Training/Habilitation Specialist · Santa Rosa, CA

NPI number 1205488905 Active

Practice location

3400 Montgomery Dr
Santa Rosa, CA 95405-5142

Mailing address

1100 Lincoln Ave Ste 108
Napa, CA 94558-4908

Specialties and licenses

TaxonomyCodeLicense
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 1205488905

Ivette Carrillo Gonzalez's National Provider Identifier is 1205488905, issued on Jul 12, 2019. 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 Aug 8, 2025.