Krizia Nicole Esguerra Bautista, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133003305 Issued in VA

Practice address

629 Phoenix Drive
Ste. 115
Virginia Beach, VA 23452

Phone

(757) 932-9057

Fax

(757) 743-9004

NPI assigned

Aug 12, 2019

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lumapaths Behavioral Services, PLLC.

  • Behavior Analyst
  • Virginia Beach, VA
  • NPI 1710348339
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1275189649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 LYNNHAVEN PKWY STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561497",
            "telephone_number": "757-932-9057",
            "fax_number": "757-743-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PHOENIX DRIVE",
            "address_2": "STE. 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-932-9057",
            "fax_number": "757-743-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "KRIZIA NICOLE",
        "middle_name": "ESGUERRA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003305",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherreen Geffken Batts, D.O.
• Robert Travis Batty
• Karen Marie Baum
• Jeffrey Bauman
• Ashton Baust
• Ty'Chel Bautista
• Joseph V Bava, DPM
• Mark L Bawcom, DC
• Derrek Bax
• Keisha Monique Baxter

• Behavior Analyst in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.