Martin Bautista
Martin Bautista is a Behavior Technician in Santa Rosa, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1335 N Dutton AveSanta Rosa, CA 95401-4609
Phone: (855) 223-7123
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1225708985 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 15, 2021 |
| Last updated in NPPES | September 15, 2021 |
| Certification date | September 15, 2021 |
| Mailing address | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 |
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