Individual provider · Type 1 NPI

Brian Lee Domitrovich, SUDCC II

Day Training/Habilitation Specialist · Oakland, CA

NPI number 1467060798 Active

Practice location

280 17th St
Oakland, CA 94612-4124

Call (510) 238-5020 Map

Mailing address

6649 Foothill Blvd Unit 2
Oakland, CA 94605-2018

Other practice locations

  • 2577 San Pablo Ave, Oakland, CA 94612-1159 · (510) 466-6100

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000X13534 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400X13534 (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.

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About NPI 1467060798

Brian Lee Domitrovich, SUDCC II's National Provider Identifier is 1467060798, issued on Jul 22, 2020. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Oakland, CA. The record was last updated on Apr 7, 2026.