Justin Bautista

NPI #1134642606 in Tarzana, California

Provider Information

NPI Number: 1134642606
Entity Type: Individual
Name: Justin Bautista
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 17, 2017
Last Updated: Jul 17, 2017

Practice Location

Address: 19019 VENTURA BLVD
City: Tarzana
State: California
ZIP Code: 91356-3253
Phone: (818) 501-8352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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