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

Vanessa Bautista

Individual provider School Psychologist · NPI 1588485825

Vanessa Bautista is a School Psychologist in Fort Moore, Georgia. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

5253 10th Armored Loop
Fort Moore, GA 31905-7088
Phone: (831) 245-8662
Show map & directions

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

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 72067 (TX)

Record details

NPI number1588485825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2024
Last updated in NPPESOctober 19, 2024
Certification dateOctober 19, 2024