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

MS. Divine Grace Mendoza Bautista

Individual provider Behavior Technician · NPI 1518540152

MS. Divine Grace Mendoza Bautista is a Behavior Technician in Daly City, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

374 Miriam St
Daly City, CA 94014-1952
Phone: (415) 580-9146
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1518540152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2021
Last updated in NPPESMay 2, 2021
Certification dateApril 28, 2021

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