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

Guadalupe Mondragon-Bautista

Individual provider Behavior Technician · NPI 1508614561

Guadalupe Mondragon-Bautista is a Behavior Technician in San Diego, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1733 Euclid Ave
San Diego, CA 92105-5414
Phone: (619) 263-0433
Fax: (619) 263-3992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 736593 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1508614561
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2024
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

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