Individual
ESTELA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MA, LBA
Contact information
Practice address
1295 S STATE ST, CLEARFIELD, UT 84015-1793
(801) 987-3592
Mailing address
16255 VENTURA BLVD STE 830, ENCINO, CA 91436-2317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14133380-2506
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/13/2022
Last updated
05/26/2025
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