Individual
SARAH ELISABETH VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 CULLY RD, CORDOVA, TN 38018-8502
(626) 862-9831
Mailing address
1155 CULLY RD, CORDOVA, TN 38018-8502
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
TN
Enumeration date
05/14/2013
Last updated
05/07/2015
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