Michael Adrian Bautista
Michael Adrian Bautista is a Behavior Technician in Plainfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
11914 Illinois Route 59 Unit 134Plainfield, IL 60585
Phone: (630) 381-0496
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-348053 (IL) |
|---|
Record details
| NPI number | 1477373108 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 16, 2024 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 9, 2024 |
| Mailing address | 417 S May St, Joliet, IL 60436-2040 |
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