Individual
ANTONNETTE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9089 S PECOS RD STE 3600, HENDERSON, NV 89074-7186
(702) 680-1526
Mailing address
3085 E FLAMINGO RD STE A&B, LAS VEGAS, NV 89121-4308
(702) 605-4437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-515306
NV
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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