Estephanie Lua De La Torre
Behavior Technician in Modesto, CA. Individual provider (NPI-1).
NPI number1982201786
StatusActive
Last updated in NPPESOct 5, 2020
Details
- NPI
- 1982201786
- Entity type
- Individual (NPI-1)
- Name
- Estephanie Lua De La Torre
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2020
- Certification date
- Oct 5, 2020
- Last updated
- Oct 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3425 Coffee RdSuit C2
Modesto, CA 95355-1582
Phone 866-523-4268
Mailing address
3425 Coffee RdSuit C2
Modesto, CA 95355-1582
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