Individual provider · Type 1 NPI

Mario Bautista

Psychologist · Anaheim, CA

NPI number 1649153149 Active

Practice location

501 N Crescent Way
Anaheim, CA 92801-5401

Call (714) 296-8971 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1649153149

Mario Bautista's National Provider Identifier is 1649153149, issued on Jul 30, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Anaheim, CA. The record was last updated on Jul 30, 2025.