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

Kimberly Bautista, MSED

Individual provider Early Intervention Provider Agency · NPI 1659984409

Kimberly Bautista, MSED is an Early Intervention Provider Agency in New York, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

535 E 119th St
New York, NY 10035-4433
Phone: (917) 691-6222
Show map & directions

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

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1659984409
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedAugust 30, 2020
Last updated in NPPESAugust 30, 2020
Certification dateAugust 30, 2020

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