Individual
ARIANA CELESTE VAZQUEZ ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 POCOSHOCK PL, NORTH CHESTERFIELD, VA 23235-6345
(804) 912-4414
Mailing address
6317 BROAD SKY CIR, MECHANICSVILLE, VA 23111-4630
(804) 912-4414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002104
VA
Other
Enumeration date
08/18/2021
Last updated
11/30/2023
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