Samuel Bautista
Behavior Technician in Irvine, CA. Individual provider (NPI-1).
NPI number1669968962
StatusActive
Last updated in NPPESJul 10, 2018
Details
- NPI
- 1669968962
- Entity type
- Individual (NPI-1)
- Name
- Samuel Bautista
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2018
- Last updated
- Jul 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
106 DiscoveryIrvine, CA 92618-3131
Phone 949-203-8872
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
Other practice locations
106 Discovery
Irvine, CA 92618-3131
Irvine, CA 92618-3131
Phone 949-203-8872
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