Individual
TANIA IVETTE ESTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
6591 162ND ST APT 2L, FRESH MEADOWS, NY 11365-2648
(917) 943-0954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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