Individual
NICOLE ELIZABETH VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 NE 109TH CT STE A, VANCOUVER, WA 98662-6104
(503) 997-9879
Mailing address
4140 SE 141ST AVE, PORTLAND, OR 97236-2721
(971) 282-1745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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