Individual
AILEEN VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207-8107
(209) 213-1124
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/10/2020
Last updated
06/03/2021
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