Individual
JOANA ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 BOBCAT BLVD STE 200, TROPHY CLUB, TX 76262-5132
(972) 410-5297
Mailing address
PO BOX 620, ROANOKE, TX 76262-0620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59202
TX
103K00000X
Behavior Analyst
5021
TX
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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