IndividualActive
Abigail Bautista
NPI 1629848403 · Behavior Technician · El Segundo, CA
Provider details
- NPI number
- 1629848403
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone: (310) 856-0800
Fax: (855) 568-2494
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Registry dates
- Enumerated
- 2024-01-03
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.