Jorge Bautista

NPI 1679147649 · on the registry since 2021 · sole proprietor

Practice

Address: 200 E Del Mar Blvd Ste 112
Pasadena, CA 91105
Phone: (818) 937-0882
Fax: (818) 937-0883
Organisation at this address: Angela Liu
Sudonpo Inc
Rowi Pasadena Llc
Linda O Woodall Md
New North Natal, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 149

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-10-05

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 California