Individual
CHIARA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 OAK ST STE G20, NEWTON, MA 02464-1492
(617) 658-5611
Mailing address
219 THATCHER ST, BROCKTON, MA 02302-3949
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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