Samuel Bautista

NPI #1922435338 in Pahrump, Nevada

Provider Information

NPI Number: 1922435338
Entity Type: Individual
Name: Samuel Bautista
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 30, 2013
Last Updated: Sep 30, 2013

Practice Location

Address: 2160 E KELLOGG RD
City: Pahrump
State: Nevada
ZIP Code: 89048-7646
Phone: (775) 990-6259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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