Jack Bautista
Jack Bautista is a Behavior Technician in Hayward, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
1149 A StHayward, CA 94541-4113
Phone: (510) 901-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1669026753 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 28, 2019 |
| Last updated in NPPES | July 28, 2019 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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