Most Relevant Information
Provider Data
| NPI Number: | 1003538000 |
| Provider Name: | SULAY G CHAVEZ LEDESMA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/15/2022 |
| Last Updated: | 09/15/2022 |
Provider Practice Location
1401 FULTON ST STE 200
FRESNO
CA
937211646
Practice Location Phone/Fax
| Phone: | 5593489225 |
| Fax: |
Provider Mailing Location
1401 FULTON ST STE 200
FRESNO
CA
937211646
Provider Mailing Phone/Fax
| Phone: | 5593489225 |
| Fax: |