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NPI Code Detail

MEDICARE: MRS. KELLY ESTRELA

MEDICARE: MRS. KELLY ESTRELA
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 TechnicianRI

General Provider Information

NPI Number : 1710831250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLY ESTRELA
Provider Business Mailing Address
First Line : 170 QUARRY ST
Second Line :
City : EAST PROVIDENCE
State : RI
Zip : 02914-5211
Country : US
Telephone Number : 401-603-9377
Fax Number :
Provider Business Practice Location Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ MRS. KELLY ESTRELA ” Practice Location

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