Individual provider · Type 1 NPI

John Boudreau

Day Training/Habilitation Specialist · Los Angeles, CA

NPI number 1285014191 Active

Practice location

515 Columbia Ave
Los Angeles, CA 90017-1209

Call (213) 368-1888 Map

Fax (213) 368-6888

Mailing address

515 Columbia Ave Ste 515
Los Angeles, CA 90017-1209

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone 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 1285014191

John Boudreau's National Provider Identifier is 1285014191, issued on Jun 5, 2015. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 7, 2025.