Provider Demographics
NPI:1457427049
Name:OSIAS, ROSITA BAUTISTA
Entity Type:Individual
Prefix:
First Name:ROSITA
Middle Name:BAUTISTA
Last Name:OSIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 PINE AVE
Mailing Address - Street 2:SPACE #5
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-3727
Mailing Address - Country:US
Mailing Address - Phone:805-967-4067
Mailing Address - Fax:
Practice Address - Street 1:4570 CALLE REAL
Practice Address - Street 2:CASA DEL MURAL
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1306
Practice Address - Country:US
Practice Address - Phone:805-692-4066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health