Individual provider · NPI-1

Luis Bahena

Day Training/Habilitation Specialist · Santa Maria, CA

NPI number1225967805
StatusActive
Last updated in NPPESMay 18, 2026

Details

NPI
1225967805
Entity type
Individual (NPI-1)
Name
Luis Bahena
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2026
Certification date
May 18, 2026
Last updated
May 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist–CAYes

Practice location

212 Carmen Ln Ste 201
Santa Maria, CA 93458-7771

Phone 805-212-7680 · Fax 805-212-7680

Mailing address

212 Carmen Ln Ste 201
Santa Maria, CA 93458-7771

Phone 805-212-7680 · Fax 805-212-7680

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