Active NPI
Miriam Soledad Bautista, RBT
- Behavior Analyst
- Carlsbad, CA
National Provider Identifier
1114527561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1060 Chinquapin Ave Apt 3
Carlsbad, CA 92008-3539 - Phone
- (760) 533-2988
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | CA | Primary |
Addresses
Primary practice location
1060 Chinquapin Ave Apt 3
Carlsbad, CA 92008-3539
Mailing address
1060 Chinquapin Ave Apt 3
Carlsbad, CA 92008-3539
Phone (760) 533-2298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1114527561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 CHINQUAPIN AVE APT 3",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920083539",
"telephone_number": "760-533-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 CHINQUAPIN AVE APT 3",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920083539",
"telephone_number": "760-533-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "MIRIAM",
"middle_name": "SOLEDAD",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.