Individual
ELAINA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7905 N MEADOWLARK WAY, COEUR D ALENE, ID 83815-5041
(208) 618-2709
Mailing address
3082 W RIMBAUD AVE, COEUR D ALENE, ID 83815-5351
(208) 292-8154
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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