Most Relevant Information
Provider Data
| NPI Number: | 1003590464 |
| Provider Name: | CHRISTAL BAUTISTA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2023 |
| Last Updated: | 06/14/2023 |
Provider Practice Location
3600 LIME ST
RIVERSIDE
CA
925012971
Practice Location Phone/Fax
| Phone: | 9093670378 |
| Fax: |
Provider Mailing Location
3600 LIME ST
RIVERSIDE
CA
925012971
Provider Mailing Phone/Fax
| Phone: | 9093670378 |
| Fax: |