Individual
BRIANNA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Mailing address
290 IOOF AVENUE GILROY, CA 95020, GILROY, CA 95020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
08/12/2025
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