Jeremy Bautista
NPI #1063911600 in San Juan Capistrano, California
Provider Information
- NPI Number
- 1063911600
- Entity Type
- Individual
- Name
- Jeremy Bautista
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 9, 2018
- Last Updated
- Feb 9, 2018
Practice Location
- Address
- 27127 CALLE ARROYO STE 1921
- State
- California
- ZIP Code
- 92675-2765
- Phone
- (949) 661-6753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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