Provider Demographics
NPI:1336831007
Name:BATES, DORI
Entity type:Individual
Prefix:
First Name:DORI
Middle Name:
Last Name:BATES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 HILLVIEW RD
Mailing Address - Street 2:
Mailing Address - City:JOSHUA TREE
Mailing Address - State:CA
Mailing Address - Zip Code:92252-2471
Mailing Address - Country:US
Mailing Address - Phone:424-768-0704
Mailing Address - Fax:
Practice Address - Street 1:6801 HILLVIEW RD
Practice Address - Street 2:
Practice Address - City:JOSHUA TREE
Practice Address - State:CA
Practice Address - Zip Code:92252-2471
Practice Address - Country:US
Practice Address - Phone:424-768-0704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician