JOHN BOUDREAU
NPI 1285014191
Day Training/Habilitation Specialist in Los Angeles, CA

Active since June 05, 2015
515 COLUMBIA AVE, LOS ANGELES, CA 90017(213) 368-1888(213) 368-6888 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Jun 20, 2023 (2 updates tracked since 2023).

About John Boudreau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN BOUDREAU (NPI 1285014191) is an individual day training/habilitation specialist in Los Angeles, California and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1285014191
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameJOHN BOUDREAU
Location Address515 COLUMBIA AVELos Angeles, CA 90017-1209
Mailing Address515 Columbia Ave Ste 515Los Angeles, CA 90017-1209 · (213) 553-1800 · Fax (213) 368-1366
Fax(213) 368-6888
Sole ProprietorNo
Enumeration DateJune 5, 2015
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
NPI 1285014191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
515 COLUMBIA AVE, Los Angeles, CA 90017

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
515 COLUMBIA AVE
LOS ANGELES, CA 90017
Social Worker
515 COLUMBIA AVE
LOS ANGELES, CA 90017
Marriage & Family Therapist
515 COLUMBIA AVE
LOS ANGELES, CA 90017
Case Manager/Care Coordinator
515 COLUMBIA AVE
LOS ANGELES, CA 90017
Social Worker (Clinical)
515 COLUMBIA AVE
LOS ANGELES, CA 90017
Day Training/Habilitation Specialist
515 COLUMBIA AVE
LOS ANGELES, CA 90017
Licensed Vocational Nurse
515 COLUMBIA AVE
LOS ANGELES, CA 90017
Counselor (Mental Health)
515 COLUMBIA AVE
LOS ANGELES, CA 90017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Boudreau's NPI number?

The NPI number for John Boudreau is 1285014191. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is John Boudreau located?

John Boudreau practices at 515 Columbia Ave, Los Angeles, CA 90017. The listed phone number is (213) 368-1888.

What is John Boudreau's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for John Boudreau was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.