Individual
BETHANY VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
314 LAUREL OAKS DR, YOUNGSVILLE, NC 27596-2099
(855) 832-6727
Mailing address
314 LAUREL OAKS DR, YOUNGSVILLE, NC 27596-2099
(855) 832-6727
(177) 267-5910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
01/15/2021
Last updated
07/15/2026
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