MEDICARE: ESTRELLA MARIE FLORES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1366226730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTRELLA MARIE FLORES

Provider Business Mailing Address
First Line	:	7339 N 1ST ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-2954
Country	:	US
Telephone Number	:	916-729-3098
Fax Number	:

Provider Business Practice Location Address
First Line	:	4464 N HULBERT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93705-0806
Country	:	US
Telephone Number	:	559-313-2756
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	08/24/2023

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Directions to “ ESTRELLA MARIE FLORES ” Practice Location

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