Jannise Carolina Estrada

NPI #1285198754 in Midvale, Utah

Provider Information

NPI Number: 1285198754
Entity Type: Individual
Name: Jannise Carolina Estrada
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 29, 2019
Last Updated: Jan 29, 2019

Practice Location

Address: 7434 S STATE ST
City: Midvale
State: Utah
ZIP Code: 84047-2014
Phone: (801) 456-9955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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