Individual
ALEXANDER VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2317 COKER AVE, KNOXVILLE, TN 37917-3953
(615) 854-9641
Mailing address
2317 COKER AVE, KNOXVILLE, TN 37917-3953
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB982581
TN
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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