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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY BAUTISTA

Active

JEREMY BAUTISTA is a Behavior Technician healthcare provider located in SAN JUAN CAPISTRANO, California. NPI 1063911600 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SAN JUAN CAPISTRANO, CA

Registration Details

NPI Number
1063911600
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2018 (8.5166828384247 yrs)
Last Updated
Feb 9, 2018
License
00001897 (CA)

Practice Information

Address
27127 CALLE ARROYO STE 1921
SAN JUAN CAPISTRANO, CA, 926752765
Browse CA providers · Browse ZIP 92675
Phone
9496616753
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SAN JUAN CAPISTRANO, CA

Name Credential NPI
DANIA MAGILL B.S. 1932634128
RYAN DONAHUE 1851826648
KATELYN CARBIENER RBT 1568998102
HAILEY GRAVELLE 1669901674
JERRY LUONG 1003322819
ALISON HICKS 1588170286
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.