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NPI Code Detail

MEDICARE: LEA ESTRADA

MEDICARE: LEA 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 : 1689561169
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA ESTRADA
Provider Business Mailing Address
First Line : 2721 CESAR CHAVEZ BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93721-2366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2721 CESAR CHAVEZ BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93721-2366
Country : US
Telephone Number : 559-477-5546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2025
Last Update Date : 06/18/2025

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Directions to “ LEA ESTRADA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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