Danica Bautista | San Diego, CA • PECOS Search

Danica Bautista

Behavior Technician

Behavioral Health & Social Service Providers

3934 Murphy Canyon Road, Suite B202, San Diego, CA 92123

PECOS Enrollment

Based on the most recent information from CMS, provider Danica Bautista does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1700351186
Provider Type
Individual
Full Name
Bautista, Danica
Credential
RBT

Gender
Female
Sole Proprietor
No
Enumeration Date
10/11/2018
Last Updated
10/11/2018

Contact Information

Practice Location

3934 Murphy Canyon Road, Suite B202, San Diego, CA 92123

(619) 795-0814

Mailing Location

3934 Murphy Canyon Road, Suite B202, San Diego, CA 92123

(619) 795-0814

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer