Individual
ALEXANDRA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7911 NW 72ND AVE STE 215B, MEDLEY, FL 33166-2223
(786) 865-4646
Mailing address
7911 NW 72ND AVE STE 215B, MEDLEY, FL 33166-2223
(786) 865-4646
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-356812
FL
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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