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

Roger Bautista

Individual provider Behavior Technician · NPI 1063941300

Roger Bautista is a Behavior Technician in San Diego, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

10174 Old Grove Rd
San Diego, CA 92131-1652
Phone: (858) 444-8823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1063941300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2017
Last updated in NPPESJune 9, 2017

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