Provider Demographics
NPI:1912038530
Name:BATISTA, JOSHUA JAY (MFT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:JAY
Last Name:BATISTA
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:MR
Other - First Name:JOSHUA
Other - Middle Name:J
Other - Last Name:CISZEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:4215 GLENCOE AVE UNIT 403
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-4631
Mailing Address - Country:US
Mailing Address - Phone:310-339-3768
Mailing Address - Fax:
Practice Address - Street 1:1247 7TH ST STE 300
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1644
Practice Address - Country:US
Practice Address - Phone:310-339-3768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner