Individual provider · Type 1 NPI

Ian Jason Petrola

Day Training/Habilitation Specialist · Antioch, CA

NPI number 1356098826 Active

Practice location

5008 Hollow Ridge Ct
Antioch, CA 94531-8074

Call (925) 978-4080 Map

Mailing address

5021 Wagon Wheel Way
Antioch, CA 94531-8428

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000X0756550183 (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.

5 other providers at this address

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About NPI 1356098826

Ian Jason Petrola's National Provider Identifier is 1356098826, issued on Mar 4, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Antioch, CA. The record was last updated on Jun 30, 2026.