Jorge L Bautista
Jorge L Bautista is a Behavior Analyst in Pasadena, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
200 E Del Mar Blvd Ste 112Pasadena, CA 91105-2552
Phone: (818) 937-0882
Fax: (818) 937-0883
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 106E00000X (CA) |
|---|
Record details
| NPI number | 1679147649 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2021 |
| Last updated in NPPES | October 5, 2022 |
| Certification date | October 5, 2022 |
| Mailing address | 200 E Del Mar Blvd Ste 112, Pasadena, CA 91105-2552 |
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