Dolores Abigail Estrada
Behavior Technician in San Bernardino, CA. Individual provider (NPI-1).
NPI number1689375206
StatusActive
Last updated in NPPESMar 10, 2023
Details
- NPI
- 1689375206
- Entity type
- Individual (NPI-1)
- Name
- Dolores Abigail Estrada
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2023
- Certification date
- Mar 10, 2023
- Last updated
- Mar 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2147 Blake StSan Bernardino, CA 92407-6303
Phone 909-543-5688
Mailing address
2147 Blake StSan Bernardino, CA 92407-6303
Phone 909-543-5688
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