Ian Jason Petrola
Ian Jason Petrola is a Day Training/Habilitation Specialist in Antioch, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
5008 Hollow Ridge CtAntioch, CA 94531-8074
Phone: (925) 978-4080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Day Training/Habilitation Specialist (primary) | Taxonomy 373H00000X · Licence 0756550183 (CA) |
|---|
Record details
| NPI number | 1356098826 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 4, 2022 |
| Last updated in NPPES | June 30, 2026 |
| Certification date | June 30, 2026 |
| Mailing address | 5021 Wagon Wheel Way, Antioch, CA 94531-8428 |
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