Destiny Ann Mendoza Bautista
Behavior Analyst in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1497523906
StatusActive
Last updated in NPPESDec 13, 2023
Details
- NPI
- 1497523906
- Entity type
- Individual (NPI-1)
- Name
- Destiny Ann Mendoza Bautista
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2023
- Certification date
- Dec 13, 2023
- Last updated
- Dec 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | CA | Yes |
Practice location
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone 714-881-0427 · Fax 714-327-0673
Mailing address
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone 714-881-0427 · Fax 714-327-0673
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