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1720602881
DEANNA NICOLE BAUTISTA
ORANGE, CA
NPI
1720602881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 12042397)
Enumeration Date
2020-06-04
Last Update Date
2023-04-25
Business Address
Ms. DEANNA NICOLE BAUTISTA BCBA
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868-4633
Phone number: 714-656-0354
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Mailing Address
Ms. DEANNA NICOLE BAUTISTA BCBA
18726 S WESTERN AVE
GARDENA, CA 90248-3813
Phone number: 310-856-0800
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