Search › California › Day Training/Habilitation Specialist
Ian Jason Petrola
NPI 1356098826 · on the registry since 2022
Practice
- Address
- 5008 Hollow Ridge Ct
Antioch, CA 94531 - Phone
- (925) 978-4080
- Organisation at this address
- Provident Vision Network, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Day Training/Habilitation Specialist
373H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California