Individual provider · Type 1 NPI

Amadi Levette Mikell Macondray

Day Training/Habilitation Specialist · Santa Rosa, CA

NPI number 1790653939 Active

Practice location

131B Stony Cir
Santa Rosa, CA 95401-9507

Call (707) 576-7700 Map

Specialties and licenses

TaxonomyCodeLicense
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 1790653939

Amadi Levette Mikell Macondray's National Provider Identifier is 1790653939, issued on Oct 28, 2025. 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 Oct 28, 2025.