Active NPIIndividual provider

Kathy A Bautista

Behavior Technician in Lynn, Massachusetts

NPI Number1487179347
Practice location
131 Johnson St Apt 6, Lynn, MA 01902-4030
Fax
—
Last updated
April 29, 2022

Kathy Amiesys Bautista is a Behavior Technician based in Lynn, MA. Kathy Amiesys Bautista practices in Lynn, MA. The NPI Number for Kathy Amiesys Bautista is 1487179347 and holds a License No. RBT-18-50861. The current practice location address for Kathy Amiesys Bautista is 131 Johnson St Apt 6, Lynn, MA 01902-4030 and can be reached out via phone at 781-584-9081.

Provider Profile Details

NPI Number
1487179347
Provider Name
Kathy Amiesys Bautista
Provider Entity Type
Individual
Gender
Female
Address
131 Johnson St Apt 6, Lynn, MA 01902-4030
Phone Number
781-584-9081
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
August 11, 2017
Last Update Date
April 29, 2022
Certification Date
April 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Johnson St Apt 6
Lynn, MA 01902-4030
City
Lynn
Zip
01902-4030
Phone Number
781-584-9081
Lynn, MA 01902Get directions →

Provider Business Mailing Address Details

Address
10722 Old Sycamore Loop
Land O Lakes, FL 34638-4988
City
Land O Lakes
State
FL
Zip
34638-4988
Phone Number
781-584-9081

License Information

License State (1)
MA
Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
RBT-18-50861
Taxonomy (2)
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathy A Bautista?

The NPI number of Kathy A Bautista is 1487179347. It was assigned on August 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Kathy A Bautista?

Kathy A Bautista is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed under license number RBT-18-50861.

Where does Kathy A Bautista practice?

The practice location is 131 Johnson St Apt 6, Lynn, MA 01902-4030. The office can be reached at 781-584-9081 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487179347 directly on the NPPES registry website.

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