Individual
MISS CARLA JAZMINE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 EMILIA DR, CALEXICO, CA 92231-2074
(213) 476-9613
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(213) 476-9613
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
CA
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
02/27/2023
Last updated
03/17/2023
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