Bautista, Luz
Bautista, Luz is an sole proprietor health care provider with primary practice located at 2045 S Vineyard Ste 223 , Mesa AZ 85210-6826. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bautista, Luz can be contacted via phone (480) 656-3530.Contact Information
Primary practice address
2045 S Vineyard Ste 223
Mesa AZ 85210-6826
Phone: (480) 656-3530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1376214148 |
|---|---|
| LBN Legal business name | Bautista, Luz |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2021 |
| Last updated | Sep 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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