IndividualActive
Justin Bautista
NPI 1134642606 · Behavior Analyst · Tarzana, CA
Justin Bautista is a Behavior Analyst provider in Tarzana, CA (NPI 1134642606).
Provider details
- NPI number
- 1134642606
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1-16-24916 (CA)
Practice location
19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone: (818) 501-8352
Street-level locationGet directions
Mailing address
19019 Ventura Blvd
Tarzana, CA 91356-3253
Registry dates
- Enumerated
- 2017-07-17
- Last updated
- 2017-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.