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Brenda Irais Bautista

Behavior Analyst in Costa Mesa, CA. Individual provider (NPI-1).

NPI number1164094041
StatusActive
Last updated in NPPESJul 12, 2021

Details

NPI
1164094041
Entity type
Individual (NPI-1)
Name
Brenda Irais Bautista
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 12, 2021
Certification date
Jul 12, 2021
Last updated
Jul 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst–CAYes

Practice location

3186 Airway Ave Ste A
Costa Mesa, CA 92626-4650

Phone 714-881-0427 · Fax 714-327-0673

Mailing address

3186 Airway Ave Ste A
Costa Mesa, CA 92626-4650

Phone 714-881-0427 · Fax 714-327-0673

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