Individual provider · NPI-1

Janelle Avery

Day Training/Habilitation Specialist · Roseville, CA

NPI number1629761846
StatusActive
Last updated in NPPESApr 21, 2025

Details

NPI
1629761846
Entity type
Individual (NPI-1)
Name
Janelle Avery
Sex
Female
Sole proprietor
No
Enumeration date
Jun 1, 2023
Certification date
Apr 21, 2025
Last updated
Apr 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Other names

  • Janelle Willing (Former Name)

Practice location

1620 Santa Clara Dr
Roseville, CA 95661-3558

Phone 877-217-2241

Mailing address

1620 Santa Clara Dr
Roseville, CA 95661-3558

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Day Training/Habilitation Specialist providers in Roseville, CA