Bautista, Kathy Amiesys
Bautista, Kathy Amiesys is an individual health care provider with primary practice located at 131 Johnson St Apt 6 , Lynn MA 01902-4030. 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, Kathy Amiesys can be contacted via phone (781) 584-9081.Contact Information
Primary practice address
131 Johnson St Apt 6
Lynn MA 01902-4030
Phone: (781) 584-9081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Massachusetts | |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-18-50861 |
Profile Details
| NPI number | 1487179347 |
|---|---|
| LBN Legal business name | Bautista, Kathy Amiesys |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2017 |
| Last updated | Apr 29th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487179347 | NPPES |
| Massachusetts | Other | 452807522 | PASSPORT |
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