Individual
KATHERINE LYNNETTE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3443 LILLY RD NE, OLYMPIA, WA 98506-3091
(360) 456-2237
Mailing address
1200 CONCORD AVE STE 185, CONCORD, CA 94520-4915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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