Individual
ANDREA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 COUNTRY CLUB RD STE D, SANTA TERESA, NM 88008-9707
(575) 288-1881
(575) 288-1889
Mailing address
1250 HILLRISE CIR, LAS CRUCES, NM 88011-4741
(575) 288-1881
(575) 288-1889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-81252
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/29/2018
Last updated
10/22/2025
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