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NPI Code Detail

MEDICARE: MONZERRAT MORALES ESTRADA

MEDICARE: MONZERRAT MORALES ESTRADA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1245180124
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONZERRAT MORALES ESTRADA
Provider Business Mailing Address
First Line : 3966 60TH ST UNIT 57
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-6502
Country : US
Telephone Number : 619-855-2321
Fax Number : 619-374-7333
Provider Business Practice Location Address
First Line : 3966 60TH ST UNIT 57
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-6502
Country : US
Telephone Number : 619-855-2321
Fax Number : 619-374-7333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “ MONZERRAT MORALES ESTRADA ” Practice Location

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