Individual
JOEL ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(801) 683-1062
(801) 295-5537
Mailing address
2570 PORTER AVE, OGDEN, UT 84401-2415
(801) 644-9442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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