Provider Demographics
NPI:1093500993
Name:ESTRELLA, LEINAD
Entity type:Individual
Prefix:
First Name:LEINAD
Middle Name:
Last Name:ESTRELLA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CEDAR HILL TER
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-2672
Mailing Address - Country:US
Mailing Address - Phone:339-338-7479
Mailing Address - Fax:
Practice Address - Street 1:29 CEDAR HILL TER
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-2672
Practice Address - Country:US
Practice Address - Phone:339-338-7479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician