Individual
DORKA M BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., M.A.
Contact information
Practice address
3010 GRAND CONCOURSE, APT. 3K, BRONX, NY 10458-1511
(646) 639-8829
Mailing address
3010 GRAND CONCOURSE, APT. 3K, BRONX, NY 10458-1511
(646) 639-8829
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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