Individual
ALEXA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 SPRUCE ST STE 250, RIVERSIDE, CA 92507-7429
(760) 815-7772
Mailing address
321 W RINCON ST UNIT 326, CORONA, CA 92878-5707
(714) 801-2760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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