Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angie Godchaux-Kelly

Individual provider Day Training/Habilitation Specialist · NPI 1891663779

Angie Godchaux-Kelly is a Day Training/Habilitation Specialist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

3400 Montgomery Dr
Santa Rosa, CA 95405-5142
Phone: (707) 526-6902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)

Record details

NPI number1891663779
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 23, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

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