Frida Figueroa Bautista
Behavior Technician in West Jordan, UT. Individual provider (NPI-1).
NPI number1003676875
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1003676875
- Entity type
- Individual (NPI-1)
- Name
- Frida Figueroa Bautista
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2024
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
1970 W 7800 SWest Jordan, UT 84088-4025
Phone 801-916-3560
Mailing address
1970 W 7800 SWest Jordan, UT 84088-4025
Phone 801-916-3560
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