Individual
GLEIVYS S VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5362 NW 201ST TER, MIAMI GARDENS, FL 33055-4608
(786) 440-9617
Mailing address
5362 NW 201 TERRACE, MIAMI GARDENS, FL 33055-4608
(786) 440-9617
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-17041
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/20/2019
Last updated
04/28/2026
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