Individual
ALIVIAH VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
314 10TH AVE S, WAITE PARK, MN 56387-1400
(612) 767-7222
Mailing address
314 10TH AVE S STE 100, WAITE PARK, MN 56387-1968
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
12/09/2024
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