Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eduardo Bautista, RADT

Individual provider Behavior Technician · NPI 1700355633

Eduardo Bautista, RADT is a Behavior Technician in Indio, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

44359 Palm St
Indio, CA 92201-3116
Phone: (760) 342-6616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3605 E Ramon Rd, Palm Springs, CA 92264-1150 — (760) 325-5630

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1561100524 (CA)
Behavior Technician Taxonomy 106S00000X · Licence R1561100524 (CA)

Record details

NPI number1700355633
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedNovember 20, 2018
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

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