Individual
MARY ANN VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6540 GRANDE BAY, LAREDO, TX 78041-1964
(956) 744-8873
Mailing address
6540 GRANDE BAY, LAREDO, TX 78041-1964
(956) 744-8873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003385-01
NY
103K00000X
Behavior Analyst
2690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171436201
—
TX
Enumeration date
10/21/2008
Last updated
11/26/2025
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