Samuel Bautista
Behavior Analyst in Pahrump, NV. Individual provider (NPI-1).
NPI number1922435338
StatusActive
Last updated in NPPESSep 30, 2013
Details
- NPI
- 1922435338
- Entity type
- Individual (NPI-1)
- Name
- Samuel Bautista
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2013
- Last updated
- Sep 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
2160 E Kellogg RdPahrump, NV 89048-7646
Phone 775-990-6259
Mailing address
2160 E Kellogg RdPahrump, NV 89048-7646
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All 33 Behavior Analyst providers in Pahrump · All 1,098 providers in Pahrump
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