Marina Bautista-Herrera

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1160 W Olive Ave Ste Ace
Merced, CA 95348-1958

Phone

(559) 492-7900

NPI assigned

Mar 16, 2021

Last updated

Dec 2, 2022By 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

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1891370250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 W SHAW AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113310",
            "telephone_number": "559-492-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W OLIVE AVE STE ACE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481958",
            "telephone_number": "559-492-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA-HERRERA",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaneisha Nicole Batts
• Frank Joseph Baudino, MD
• Kathy M. Bauer, PHARMD
• Kellymarie Shepherd Bauer, MSW, ACSW, RAC I
• Travis Aaron Bauer, PHARMD
• Jessica Bautista-Vasquez
• Jessica Maria Bautista, M.A
• Misty Rose Bautista
• Bay Area Spine Care
• David Bayoh

• Behavior Analyst in Merced, CA
• Providers in Merced, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.