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

Individual provider Clinical Social Worker · NPI 1053959403

Yessenia Viviana Bautista is a Clinical Social Worker in Riverside, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

525 Technology Ct Ste 105
Riverside, CA 92507-2181
Phone: (951) 686-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 612 S Myrtle Ave Ste 100, Monrovia, CA 91016-3406 — (626) 775-7888

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 123126
Clinical Social Worker Taxonomy 1041C0700X
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1053959403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2019
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

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