Individual
ADIRA MINVERA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23502 LYONS AVE STE 304A, SANTA CLARITA, CA 91321-2538
(661) 702-0166
Mailing address
23502 LYONS AVE STE 304A, SANTA CLARITA, CA 91321-2538
(661) 702-0166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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