Individual
MRS. GEMMA FAY VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
9 HILLSDALE DR, DOVER, NJ 07801-2509
(973) 997-0975
Mailing address
9 HILLSDALE DR, DOVER, NJ 07801-2509
(973) 997-0975
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11416238
NJ
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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