Individual
LIDIA ESTEFANY LICONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 N KANSAS ST STE 700, EL PASO, TX 79901-1443
(817) 242-3733
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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