Individual
RAYMOND VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 BLOOMFIELD AVE, APT 3, MONTCLAIR, NJ 07042-3574
(862) 215-2595
Mailing address
408 BLOOMFIELD AVE, APT 3, MONTCLAIR, NJ 07042-3532
(862) 215-2595
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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