Most Relevant Information
Provider Data
| NPI Number: | 1003693730 |
| Provider Name: | LESLIE SAMANTHA ESTRADA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2023 |
| Last Updated: | 09/14/2023 |
Provider Practice Location
732 CARNEGIE DR STE 100
SAN BERNARDINO
CA
924083589
Practice Location Phone/Fax
| Phone: | 9097568887 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | 9097568887 |
| Fax: |