SearchVirginia103K00000X

Krizia Nicole Bautista, BCBA, LBA

NPI 1275189649 · on the registry since 2019

Practice

Address
629 Phoenix Drive
Ste. 115
Virginia Beach, VA 23452
Phone
(757) 932-9057
Fax
(757) 743-9004
Organisation at this address
Source One Mobility, Inc
Sentara Therapy Solutions, Llc
Lumapaths Behavioral Services, Pllc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia