Ryan Bautista

NPI #1417365826 in Milpitas, California

Provider Information

NPI Number: 1417365826
Entity Type: Individual
Name: Ryan Bautista
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 29, 2014
Last Updated: Jul 29, 2014

Practice Location

Address: 1613 S MAIN ST STE 103
City: Milpitas
State: California
ZIP Code: 95035-6295
Phone: (408) 913-5019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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