Individual
SELINA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(913) 662-7071
Mailing address
2603 CENTRAL AVE, DODGE CITY, KS 67801-6210
(513) 490-3643
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
02/05/2025
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