Individual
KRIZIA NICOLE ESGUERRA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
629 PHOENIX DRIVE, STE. 115, VIRGINIA BEACH, VA 23452
(757) 932-9057
(757) 743-9004
Mailing address
2085 LYNNHAVEN PKWY STE 106, VIRGINIA BEACH, VA 23456-1497
(757) 932-9057
(757) 743-9004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003305
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/12/2019
Last updated
01/25/2024
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