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Individual
THERESE KATHRYN VESAGAS
Active
Individual
THERESE KATHRYN VESAGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-35501
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
20990
CA
Other
Enumeration date
03/12/2019
Last updated
03/01/2021
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