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

Justin Bautista

Individual provider Behavior Analyst · NPI 1134642606

Justin Bautista is a Behavior Analyst in Tarzana, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone: (818) 501-8352
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-16-24916 (CA)

Record details

NPI number1134642606
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESJuly 17, 2017

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