Individual
JUAN CARLO BAUTISTA JOSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3620 LONG BEACH BLVD STE C10, LONG BEACH, CA 90807-6016
(714) 329-9105
Mailing address
3620 LONG BEACH BLVD, LONG BEACH, CA 90807-4022
(714) 329-9105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
27983
CA
Other
Enumeration date
02/18/2021
Last updated
08/08/2025
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