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Marisela Melissa Cisneros-Estrada

Behavior Technician in Milpitas, CA. Individual provider (NPI-1).

NPI number1982162483
StatusActive
Last updated in NPPESMar 4, 2019

Details

NPI
1982162483
Entity type
Individual (NPI-1)
Name
Marisela Melissa Cisneros-Estrada
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 4, 2019
Last updated
Mar 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1603a S Main St
Milpitas, CA 95035-6261

Phone 408-842-2468

Mailing address

2712 Nutmeg Way
Gilroy, CA 95020-7588

Phone 408-398-7348

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