Individual
MR. SHAWN MICHAEL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR ASSISTANT
Contact information
Practice address
10300 SUNSET DR, MIAMI, FL 33173-3012
(855) 832-6727
(772) 675-9100
Mailing address
419 W 49TH ST STE 212, HIALEAH, FL 33012-3657
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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