Most Relevant Information
Provider Data
| NPI Number: | 1003378613 |
| Provider Name: | YESENIA A CORTEZ-SANCHEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | F5428439 |
Most Important Dates
| Enumeration Date: | 04/02/2019 |
| Last Updated: | 04/02/2019 |
Provider Practice Location
7801 LAGUNA BLVD STE 100
ELK GROVE
CA
957587954
Practice Location Phone/Fax
| Phone: | 2095722589 |
| Fax: |
Provider Mailing Location
PO BOX 5157
MODESTO
CA
953525157
Provider Mailing Phone/Fax
| Phone: | 2095722589 |
| Fax: |