Individual provider · NPI-1
Rocio Bandera De Willard
Day Training/Habilitation Specialist · Santa Maria, CA
NPI number1376996165
StatusActive
Last updated in NPPESMay 12, 2026
Details
- NPI
- 1376996165
- Entity type
- Individual (NPI-1)
- Name
- Rocio Bandera De Willard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2016
- Certification date
- May 12, 2026
- Last updated
- May 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
Po Box 6202Santa Maria, CA 93456-6202
Phone 805-540-1321 · Fax 805-757-1007
Mailing address
Po Box 6202Santa Maria, CA 93456-6202
Phone 805-540-1321
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