Individual
CARMEN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 WEST AVE, 4, SAN ANTONIO, TX 78201-4042
(210) 680-8737
Mailing address
1216 WEST AVE, 4, SAN ANTONIO, TX 78201-4042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11314585
TX
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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