Individual provider · NPI-1

Ivette Barajas

Day Training/Habilitation Specialist · San Leandro, CA

NPI number1831769520

StatusActive

Last updated in NPPESJul 24, 2025

Details

NPI: 1831769520
Entity type: Individual (NPI-1)
Name: Ivette Barajas
Sex: Female
Sole proprietor: No
Enumeration date: Jun 25, 2021
Certification date: Jul 24, 2025
Last updated: Jul 24, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
373H00000X	Day Training/Habilitation Specialist	–	CA	Yes
172V00000X	Community Health Worker	–	CA
373H00000X	Day Training/Habilitation Specialist	–	–

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

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