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1225703275
KENNETH BAUTISTA
WOODLAND HILLS, CA
NPI
1225703275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-21-178540)
Enumeration Date
2021-08-11
Last Update Date
2021-08-11
Business Address
KENNETH BAUTISTA RBT
6320 CANOGA AVE FL 15
WOODLAND HILLS, CA 91367-2563
Phone number: 661-214-3063
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Mailing Address
KENNETH BAUTISTA RBT
25350 MAGIC MOUNTAIN PKWY STE 300
SANTA CLARITA, CA 91355-1356
Phone number:
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