Angela Susana Pineros Bautista
Behavior Technician in Charleston, SC. Individual provider (NPI-1).
NPI number1235929068
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1235929068
- Entity type
- Individual (NPI-1)
- Name
- Angela Susana Pineros Bautista
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2025
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1723 Frick Ave Unit BCharleston, SC 29404-2232
Phone 843-818-8236
Mailing address
1723 Frick Ave Unit BCharleston, SC 29404-2232
Phone 843-818-8236
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