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Individual

MRS. JONNATHAN ALBERTO ESTRADA

Active
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Individual

MRS. JONNATHAN ALBERTO ESTRADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
FL
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
222Q00000X
Developmental Therapist

Other

Enumeration date
06/24/2011
Last updated
09/08/2020
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