Michael Adrian Bautista
NPI #1477373108 in Plainfield, Illinois
Provider Information
- NPI Number
- 1477373108
- Entity Type
- Individual
- Name
- Michael Adrian Bautista
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 16, 2024
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 11914 ILLINOIS ROUTE 59
- Address 2
- UNIT 134
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60585
- Phone
- (630) 381-0496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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