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General NPI Number Information
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NPI Number | 1902528359
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Entity Type | Individual
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Provider Name | ESTELA PEREZ BCBA, MA, LBA
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 1295 S STATE ST
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City | CLEARFIELD
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State | UT
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Zip | 84015-1793
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Country | US
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Telephone | 801-987-3592
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Fax |
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Provider Business Mailing Address
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Address Line | 16255 VENTURA BLVD STE 830
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City | ENCINO
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State | CA
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Zip | 91436-2317
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 14133380-2506
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License Number State | UT
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