Provider Demographics
NPI:1245789031
Name:ESTES, DEANNA JILL
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:JILL
Last Name:ESTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 WILSHIRE BLVD STE 300A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3537
Mailing Address - Country:US
Mailing Address - Phone:888-428-3223
Mailing Address - Fax:363-866-1881
Practice Address - Street 1:500 DISCOVERY PKWY STE 100
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-8637
Practice Address - Country:US
Practice Address - Phone:720-647-8541
Practice Address - Fax:972-378-4747
Is Sole Proprietor?:No
Enumeration Date:2016-09-22
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst