Individual
MRS. ISABEL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739 NW 38TH PLACE, CAPE CORAL, FL 33993-6303
(786) 803-3253
Mailing address
739 NW 38TH PLACE, CAPE CORAL, FL 33993-6303
(786) 803-3253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118385600
—
FL
Enumeration date
03/16/2018
Last updated
01/22/2025
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