Individual
JESYALIE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8387 SENECA TPKE, NEW HARTFORD, NY 13413-4957
(315) 732-3431
Mailing address
122 BUSINESS PARK DR STE 1, UTICA, NY 13502-6321
(315) 732-3431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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