Individual
ELAINA M ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
15237 KANE PL APT E, FORT JOHNSON, LA 71459-2669
(623) 888-1560
Mailing address
15237 KANE PL APT E, FORT JOHNSON, LA 71459-2669
(623) 888-1560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-122495
AZ
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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