Individual
LAYRA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 GRASSLANDS RD STE 101, VALHALLA, NY 10595-1520
(914) 593-0593
(914) 593-0594
Mailing address
466 MAIN ST, NEW ROCHELLE, NY 10801-6431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
06/03/2021
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