Individual
CHASTYNNE CHAYNE BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6440 SHAWNEE SPRINGS CT, LAS VEGAS, NV 89139-7227
(702) 580-9156
Mailing address
6440 SHAWNEE SPRINGS CT, LAS VEGAS, NV 89139-7227
(702) 580-9156
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB991642
NV
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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