Isabella O Bustamante

NPI #1255296273 in San Lorenzo, California

Provider Information

NPI Number: 1255296273
Entity Type: Individual
Name: Isabella O Bustamante
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 22, 2025
Last Updated: Dec 22, 2025

Practice Location

Address: 15960 VIA CORDOBA
City: San Lorenzo
State: California
ZIP Code: 94580-2534
Phone: (510) 504-5957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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