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

Brian Lee Domitrovich, SUDCCII

Individual provider Day Training/Habilitation Specialist · NPI 1467060798

Brian Lee Domitrovich, SUDCCII is a Day Training/Habilitation Specialist in Oakland, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

280 17th St
Oakland, CA 94612-4124
Phone: (510) 238-5020
Show map & directions

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

Additional practice locations (1)

  • 2577 San Pablo Ave, Oakland, CA 94612-1159 — (510) 466-6100

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X · Licence 13534 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 13534 (CA)

Record details

NPI number1467060798
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCCII
Sole proprietorNo
NPI enumeratedJuly 22, 2020
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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