Individual
SUSANA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
609 VIEJO GABRIEL, SOLEDAD, CA 93960-3483
(831) 315-0971
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
10/11/2023
Last updated
10/13/2023
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