Individual
DYONNE JANYSE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 BLUME ST NE, ALBUQUERQUE, NM 87111-4949
(505) 403-4493
Mailing address
3120 BLUME ST NE, ALBUQUERQUE, NM 87111-4949
(505) 403-4493
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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