Antonio Bautista
Individual provider Active NPI Behavior Technician · Towson, MD
NPI 1487415329 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1487415329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1220 E Joppa Rd
Towson, MD 21286-5811 - Phone
- (443) 353-9547
- NPI assigned
- Jan 18, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1220 E Joppa Rd
Towson, MD 21286-5811
Mailing address
1220 E Joppa Rd
Towson, MD 21286-5811
Other providers in Towson, MD
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- Breona Batty
- Destinee Baughan
- Eileen Baughan
- Thomas L Baumgardner
- Sunit Rashmikant Baxi
- Maria Baxter
- Bay Medical and Wellness Center
- Bayada Home Health Care, Inc.
- Babak Bayan
All providers in Towson, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.