Liceth Bautista
Liceth Bautista is a Behavior Technician in Santa Cruz, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
749 37th AveSanta Cruz, CA 95062-5124
Phone: (844) 322-7483
Fax: (888) 334-7021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1316606551 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 15, 2021 |
| Last updated in NPPES | December 15, 2021 |
| Certification date | December 15, 2021 |
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