Healthcare Provider Details

I. General information

NPI: 1316861750
Provider Name (Legal Business Name): YOVANNA SABINA ESTRADA AUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 LUISA ST STE E
SANTA FE NM
87505-4073
US

IV. Provider business mailing address

1421 LUISA ST
SANTA FE NM
87505-4073
US

V. Phone/Fax

Practice location:
  • Phone: 415-616-9541
  • Fax:
Mailing address:
  • Phone: 415-616-9541
  • Fax: 415-616-9541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: