Individual
NUBIE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6076 BRISTOL PKWY STE 106, CULVER CITY, CA 90230-6600
(310) 645-0642
Mailing address
1063 MCGAW AVE, IRVINE, CA 92614-5505
(714) 230-9546
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
03/19/2021
Last updated
09/24/2021
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