Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jorge L Bautista

Individual provider Behavior Analyst · NPI 1679147649

Jorge L Bautista is a Behavior Analyst in Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

200 E Del Mar Blvd Ste 112
Pasadena, CA 91105-2552
Phone: (818) 937-0882
Fax: (818) 937-0883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 106E00000X (CA)

Record details

NPI number1679147649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 14, 2021
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

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