Individual provider · Type 1 NPI

Isabella O. Bustamante

Behavior Technician · San Lorenzo, CA

NPI number 1255296273 Active

Practice location

15960 Via Cordoba
San Lorenzo, CA 94580-2534

Call (510) 504-5957 Map

Mailing address

1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1255296273

Isabella O. Bustamante's National Provider Identifier is 1255296273, issued on Dec 22, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Lorenzo, CA. The record was last updated on Dec 22, 2025.